Provider Demographics
NPI:1841520400
Name:GLENDENNING, JULIE M (RN NP)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:M
Last Name:GLENDENNING
Suffix:
Gender:F
Credentials:RN NP
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Mailing Address - Street 1:405 LAKE ZURICH RD
Mailing Address - Street 2:JOURNEYCARE
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-3141
Mailing Address - Country:US
Mailing Address - Phone:224-688-0106
Mailing Address - Fax:
Practice Address - Street 1:405 LAKE ZURICH RD
Practice Address - Street 2:JOURNEYCARE
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-3141
Practice Address - Country:US
Practice Address - Phone:224-688-0106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-05
Last Update Date:2015-07-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL209011731363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILIL3519Medicare PIN