Provider Demographics
NPI:1225999774
Name:ROSENHAUER, JULIE A
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:A
Last Name:ROSENHAUER
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 1:1311 W CHICAGO AVE APT 2N
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60642-5793
Mailing Address - Country:US
Mailing Address - Phone:314-223-9447
Mailing Address - Fax:
Practice Address - Street 1:1311 W CHICAGO AVE APT 2N
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60642-5793
Practice Address - Country:US
Practice Address - Phone:314-223-9447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-22
Last Update Date:2025-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies