Provider Demographics
NPI:1669540183
Name:NAUMOFF, JULIAN (MD,CAS)
Entity type:Individual
Prefix:
First Name:JULIAN
Middle Name:
Last Name:NAUMOFF
Suffix:
Gender:M
Credentials:MD,CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 NORFOLK CT APT 6
Mailing Address - Street 2:
Mailing Address - City:ROSELLE
Mailing Address - State:IL
Mailing Address - Zip Code:60172-4008
Mailing Address - Country:US
Mailing Address - Phone:630-965-6005
Mailing Address - Fax:
Practice Address - Street 1:200 NORFOLK CT APT 6
Practice Address - Street 2:
Practice Address - City:ROSELLE
Practice Address - State:IL
Practice Address - Zip Code:60172-4008
Practice Address - Country:US
Practice Address - Phone:630-965-6005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor