Provider Demographics
NPI:1366935694
Name:AMUNDSON, JULIA ROTHE (MD, MPH)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:ROTHE
Last Name:AMUNDSON
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:4901 SEARLE PKWY STE 150
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-5320
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:847-982-3394
Practice Address - Street 1:1000 CENTRAL ST STE 800
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-1780
Practice Address - Country:US
Practice Address - Phone:847-982-6710
Practice Address - Fax:847-982-3394
Is Sole Proprietor?:No
Enumeration Date:2018-06-12
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125.071744208600000X
IL036156864208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery