DR. JULIA BLAIZE WILKINSON (NPI# 1679754642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679754642 |
Entity Type | Individual |
Full Name | DR. JULIA BLAIZE WILKINSON |
Credential | M.D. |
Practice Address |
25 N. Winfield Rd. Ste 103 Winfield IL 60190 |
Practice Telephone | 6309334487 |
Practice Fax Number | 6309332009 |
Mailing Telephone | 6309334487 |
Mailing Fax Number | 6309332009 |
Enumeration Date | 2007-11-19 |
Last Update Date | 2015-01-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036135153 | IL | Allopathic & Osteopathic Physicians |
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
036135153 | IL | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | LA | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | MEDICARE INDIVIDUAL | F400163486 | 01 |
IL | MEDICARE GROUP PTAN | 206147 | 01 |
LA | 1007692 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063605087 | Julia Abigail Wilkinson | Genetic Counselor, MS | 55 Lake Ave N, Umass Memorial Medical Center - Pediatrics/genetics, Worcester, MA 01655-0002 | 2007-08-22 |
1194834374 | Julia K. Wilkinson | Physical Therapist | 6246 E Pima St, Suite 180, Tucson, AZ 85712-3156 | 2006-08-30 |
Street Address |
25 N. WINFIELD RD. STE 103 |
City | WINFIELD |
State | IL |
Zip Code | 60190 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700876307 | Barbara Buttin | Obstetrics & Gynecology | 25 N. Winfield Rd., Winfield, IL 60190-1295 | 2005-10-25 |
1669713616 | Lindsay Stanek | Nurse Practitioner | 25 N. Winfield Rd., Winfield, IL 60190-1295 | 2013-03-14 |
1285911149 | Susan D Clark | Social Worker | 25 N. Winfield Rd., Winfield, IL 60190-1295 | 2011-11-07 |
1710261938 | Nicole Renee Rissman | Nurse Practitioner | 25 N. Winfield Rd., Winfield, IL 60190-1295 | 2011-10-06 |
1427378413 | Marc Josef Conte-russian | Internal Medicine | 25 N. Winfield Rd., Suite 419, Winfield, IL 60190 | 2010-06-02 |
1366675332 | James Matthew Towne | Internal Medicine | 25 N. Winfield Rd., Winfield, IL 60190-1295 | 2009-08-25 |
1215166723 | Alfredo Ceballos Jr. | Anesthesiology | 25 N. Winfield Rd., Dept of Anesthesia, Winfield, IL 60190 | 2009-07-06 |
1891943619 | Isis M Duran | Specialist | 25 N. Winfield Rd., Winfield, IL 60190-1295 | 2008-09-04 |
1851547194 | Carmel Lynn Goudzwaard | Internal Medicine | 25 N. Winfield Rd., Winfield, IL 60190-1295 | 2008-08-18 |
1841498672 | Renato Ripamonti | Radiology | 25 N. Winfield Rd., Winfield, IL 60190 | 2007-07-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316592256 | Kelly Marie Jung | Nurse Practitioner | 25 N Winfield Rd Ste 500, Winfield, IL 60190 | 2019-08-07 |
1003379660 | Genevieve Goro | Speech-Language Pathologist | In220 Pleasant Hill Rd, Winfield, IL 60190 | 2019-04-10 |
1730670175 | Brian J Fischer | Physical Therapist | 26w228 Geneva Road, Winfield, IL 60190 | 2018-05-22 |
1730625500 | Johnson Medical Services S.c. | Family Medicine | 27 W 132 Barnes Ave/, Winfield, IL 60190 | 2017-01-17 |
1992253843 | Dr. Roy Settergren S.c. | Chiropractor | 27w123 Redbud Lane, Winfield, IL 60190 | 2016-09-20 |
1952855223 | Terri Hannemann | Nurse Practitioner | 25 North Winfield Road, Central Dupage Hospital, Winfield, IL 60190 | 2016-08-04 |
1154730737 | Cynthia Koeppen | Registered Nurse | 27w281 Winfield Rd, Winfield, IL 60190 | 2014-08-07 |
1992117634 | Jonathan Wang | Internal Medicine | 25 N Winfield Rd Ste 202, Winfield, IL 60190 | 2014-05-29 |
1689005977 | Erin Sands | Physician Assistant | 25 N Winfield Rd Ste 519, Winfield, IL 60190 | 2013-12-11 |
1790120285 | Clarity Health & Wellness | Social Worker | 1 N. 121 County Farm Road, Suite 220, Winfield, IL 60190 | 2013-05-09 |
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Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902223787 | Mcclure Medical Practice, Pa | Surgery | 901 Main St, Suite 101, Winfield, KS 67156-3604 | 2014-03-18 |
1124289137 | Michael Joseph Gaffud | Surgery | 25 N Winfield Rd, Ste 405, Winfield, IL 60190 | 2008-06-23 |
1003914292 | Joseph Raymond Schneider | Surgery | 25 N Winfield Rd, Suite 201, Winfield, IL 60190-1295 | 2006-09-20 |
1922028091 | Michael James Verta | Surgery | 25 N Winfield Rd, Suite 201, Winfield, IL 60190-1295 | 2006-07-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396267324 | Congress Vascular Center LLC | Surgery | 41 W Congress Pkwy Fl 1, Chicago, IL 60605-1531 | 2017-07-11 |
1043731300 | Elmwood Park Vascular Center LLC | Surgery | 7230 W North Ave Ste 108, Elmwood Park, IL 60707-4261 | 2017-06-27 |
1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
1992126668 | Vascular Specialists LLC | Surgery | 20060 Governors Dr Ste 102, Olympia Fields, IL 60461-1099 | 2013-12-26 |
1588959548 | Patrick Michael Sullivan Neville | Surgery | 4600 Memorial Dr Ste 120, Belleville, IL 62226-5359 | 2011-06-17 |
1235454968 | Margaret Claire Rigamer | Surgery | 1901 W Harrison St Dept Of, Chicago, IL 60612-3714 | 2010-04-06 |
1215251541 | John V. White, Md, LLC | Surgery | 8816 W Dempster St, Niles, IL 60714-5109 | 2010-03-15 |
1710212733 | Vascular Surgery and Interpretation S.c. | Surgery | 3330 W 177th St Ste 2c1, Hazel Crest, IL 60429-2184 | 2009-10-08 |
1538391792 | Usa Vein Clinics of Chicago LLC | Surgery | 4141 Dundee Rd, Northbrook, IL 60062-2129 | 2009-08-20 |
1306010731 | Tanq, Inc. | Surgery | 18510 S Marilynn Ct, Mokena, IL 60448-9517 | 2008-04-16 |
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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.