Provider Demographics
NPI:1194944512
Name:GINER, JULIETTE (MD)
Entity type:Individual
Prefix:
First Name:JULIETTE
Middle Name:
Last Name:GINER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3280 VENARD RD
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1109
Mailing Address - Country:US
Mailing Address - Phone:630-971-9608
Mailing Address - Fax:
Practice Address - Street 1:THOREK MEMORIAL HOSPITAL
Practice Address - Street 2:850 W. IRVING PARK ROAD
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-3098
Practice Address - Country:US
Practice Address - Phone:773-525-6780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036071886208M00000X
IL036-071886207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist