Provider Demographics
NPI:1295086742
Name:BASKO-PLLUSKA, JULIANA LLAZAR (MD)
Entity type:Individual
Prefix:
First Name:JULIANA
Middle Name:LLAZAR
Last Name:BASKO-PLLUSKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1331 W 75TH ST
Mailing Address - Street 2:SUITE 402
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-9336
Mailing Address - Country:US
Mailing Address - Phone:630-596-8045
Mailing Address - Fax:
Practice Address - Street 1:1331 W 75TH ST STE 402
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-9311
Practice Address - Country:US
Practice Address - Phone:630-596-8045
Practice Address - Fax:630-590-9634
Is Sole Proprietor?:No
Enumeration Date:2012-09-24
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036132089207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology