JULIETA JOSON-LUNA MD SC


Address: 5906 W Montrose Ave, Chicago, IL 60634-1625
Phone: 7732861464

JULIETA JOSON-LUNA MD SC (NPI# 1356673842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356673842
Entity Type Organization
Organization Name JULIETA JOSON-LUNA MD SC
Practice Address 5906 W Montrose Ave
Chicago
IL 60634-1625
Practice Telephone 7732861464
Practice Fax Number 7732864001
Mailing Telephone 7732861464
Mailing Fax Number 7732864001
Enumeration Date 2010-02-08
Last Update Date 2010-02-08
Authorized Official Name JULIETA JOSON-LUNA (PRESIDENT)
Authorized Official Telephone 7732861464
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center 036049534 IL Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IL 036049534 05
IL NPI TYPE 1 1104991413 01

Office Location

Street Address 5906 W MONTROSE AVE
City CHICAGO
State IL
Zip Code 60634-1625

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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Competitor

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City CHICAGO
Zip Code 60634

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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