Provider Demographics
NPI:1952330607
Name:STAMOS, JULIE KIM (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:KIM
Last Name:STAMOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:695 HILL RD
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:IL
Mailing Address - Zip Code:60093-3914
Mailing Address - Country:US
Mailing Address - Phone:847-784-8993
Mailing Address - Fax:847-784-8996
Practice Address - Street 1:2300 N CHILDRENS PLZ
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-3363
Practice Address - Country:US
Practice Address - Phone:773-880-4317
Practice Address - Fax:773-880-8226
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2011-09-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL0360791152080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILF-64611Medicare UPIN