Provider Demographics
NPI:1306440714
Name:ROLLINS, JULIE CATHERINE (NP-C)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:CATHERINE
Last Name:ROLLINS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1042 MAPLE AVE STE 335
Mailing Address - Street 2:
Mailing Address - City:LISLE
Mailing Address - State:IL
Mailing Address - Zip Code:60532-2329
Mailing Address - Country:US
Mailing Address - Phone:708-829-2198
Mailing Address - Fax:630-818-2998
Practice Address - Street 1:1900 SILVER CROSS BLVD
Practice Address - Street 2:
Practice Address - City:NEW LENOX
Practice Address - State:IL
Practice Address - Zip Code:60451-9509
Practice Address - Country:US
Practice Address - Phone:815-300-5376
Practice Address - Fax:815-300-4848
Is Sole Proprietor?:No
Enumeration Date:2020-11-25
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL209022233208M00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist