Provider Demographics
NPI:1851865257
Name:KOCEMBA, JULIA (PA-C)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:KOCEMBA
Suffix:
Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:3060 N ARLINGTON HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-1530
Mailing Address - Country:US
Mailing Address - Phone:847-394-3202
Mailing Address - Fax:
Practice Address - Street 1:3060 N ARLINGTON HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-1530
Practice Address - Country:US
Practice Address - Phone:847-394-1202
Practice Address - Fax:312-263-5029
Is Sole Proprietor?:No
Enumeration Date:2019-01-18
Last Update Date:2023-03-07
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant