Provider Demographics
NPI:1831428325
Name:MESSER, JULIANA K (ANP-BC)
Entity type:Individual
Prefix:
First Name:JULIANA
Middle Name:K
Last Name:MESSER
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:
Other - First Name:JULIANA
Other - Middle Name:
Other - Last Name:SOHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANP-BC
Mailing Address - Street 1:2309 W WABANSIA AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-5930
Mailing Address - Country:US
Mailing Address - Phone:630-244-6761
Mailing Address - Fax:
Practice Address - Street 1:4440 W 95TH ST
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2600
Practice Address - Country:US
Practice Address - Phone:708-684-5551
Practice Address - Fax:708-684-4843
Is Sole Proprietor?:No
Enumeration Date:2009-12-14
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209007959363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health