Provider Demographics
NPI:1922367606
Name:PLESCIA, JULIA (FNP)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:PLESCIA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19685 BRAE LOCH ROAD
Mailing Address - Street 2:
Mailing Address - City:GRAYSLAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60030-1307
Mailing Address - Country:US
Mailing Address - Phone:847-223-6613
Mailing Address - Fax:
Practice Address - Street 1:19685 W BRAE LOCH RD
Practice Address - Street 2:
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030-1307
Practice Address - Country:US
Practice Address - Phone:847-223-6613
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-15
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.234139363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily