Provider Demographics
NPI:1154423382
Name:HULCHER, JULIA M (MD)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:M
Last Name:HULCHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1025 FAIR OAKS AVE.
Mailing Address - Street 2:MEDICAL CONSULTING
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-1337
Mailing Address - Country:US
Mailing Address - Phone:708-524-4295
Mailing Address - Fax:708-524-4617
Practice Address - Street 1:1025 FAIR OAKS AVE.
Practice Address - Street 2:MEDICAL CONSULTING
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-1337
Practice Address - Country:US
Practice Address - Phone:708-524-4295
Practice Address - Fax:708-524-4617
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0360722322084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
1603782OtherBCBS
E35978Medicare UPIN
916221Medicare ID - Type Unspecified