Provider Demographics
NPI:1841891207
Name:JULIUS, ELIZABETH KRISTIN
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:KRISTIN
Last Name:JULIUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 W BUENA AVE APT 1901
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-6634
Mailing Address - Country:US
Mailing Address - Phone:732-606-6439
Mailing Address - Fax:
Practice Address - Street 1:833 W BUENA AVE APT 1901
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-6634
Practice Address - Country:US
Practice Address - Phone:732-606-6439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered