JULIE M STRIDE (NPI# 1972538742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972538742 |
Entity Type | Individual |
Full Name | JULIE M STRIDE |
Credential | D.P.M. |
Practice Address |
1200 N Westmoreland Rd Lake Forest IL 60045-1601 |
Mailing Address |
Po Box 64 Lake Bluff IL 60044-0064 |
Practice Telephone | 8472346164 |
Practice Fax Number | 8475357840 |
Mailing Telephone | 8472346164 |
Mailing Fax Number | 8475357840 |
Enumeration Date | 2006-07-11 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
IL | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BLUE CROSS BLUE SHIELD | 0004905313 | 01 |
AETNA | 5020028 | 01 |
Street Address |
1200 N WESTMORELAND RD |
City | LAKE FOREST |
State | IL |
Zip Code | 60045-1601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801824834 | Kathryn Sandberg | Physical Therapist | 1200 N Westmoreland Rd, Suite 100, Lake Forest, IL 60045-1601 | 2006-06-29 |
1265885651 | Laura Bailey | Nurse Practitioner | 1200 N Westmoreland Rd, Suite 100, Lake Forest, IL 60045-1601 | 2016-07-20 |
1598083727 | David J Kaufman | Orthopaedic Surgery | 1200 N Westmoreland Rd, Suite 100, Lake Forest, IL 60045-1601 | 2010-05-12 |
1861726986 | Amanda Louise Wright | Physical Therapist | 1200 N Westmoreland Rd, Suite 200, Lake Forest, IL 60045-1601 | 2009-09-22 |
1356599633 | Benjamin Davis | Orthopaedic Surgery | 1200 N Westmoreland Rd, Suite 100, Lake Forest, IL 60045-1601 | 2008-08-28 |
1891994760 | Theresa A Montella | Physical Therapist | 1200 N Westmoreland Rd, Lake Forest, IL 60045-1601 | 2007-07-12 |
1477751626 | Katherine Marie Schulte | Physical Therapist | 1200 N Westmoreland Rd, Suite 200, Lake Forest, IL 60045-1601 | 2007-07-10 |
1922211788 | Michael Thomas Walsh | Neurological Surgery | 1200 N Westmoreland Rd, Ste 100, Lake Forest, IL 60045-1601 | 2007-05-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851931109 | Spine & Wellness Clinic, Inc. | Chiropractor | 775 N Bank Lane Suite 101, Lake Forest, IL 60045 | 2020-01-14 |
1184278640 | Mary Belluomini Dipietro | Dietitian, Registered | 1000 North Westmoreland Rd., Lake Forest, IL 60045 | 2019-08-01 |
1336621747 | Brook Elizabeth Orvis | Physical Therapist | 1000 N Westmoreland Road, 2nd Floor, Pavilion B, Lake Forest, IL 60045 | 2018-08-31 |
1336621028 | Michelle Nebel | Audiologist | 225 East Deerpath, Suite 223, Lake Forest, IL 60045 | 2018-08-30 |
1467951731 | Devan Keesling | Audiologist | 800 N Westmoreland Rd Ste Ll30, Lake Forest, IL 60045 | 2018-02-01 |
1023516796 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1000 N Westmoreland Rd Ste A, Lake Forest, IL 60045 | 2018-01-29 |
1275056780 | Karen Elizabeth Cohen | Counselor | 1331 S. Estate Lane, Lake Forest, IL 60045 | 2017-07-18 |
1497281711 | Caroline Connors | Speech-Language Pathologist | 660 Westmoreland Road, Lake Forest, IL 60045 | 2017-05-05 |
1013453406 | Katie L Konopacz | Nurse Practitioner | 1000 N Westmoreland Rd # B, Lake Forest, IL 60045 | 2017-01-10 |
1225424575 | Sean Robert Wessel | Internal Medicine | 1000 N Westmoreland Rd Ste 3556, Lake Forest, IL 60045 | 2015-04-14 |
Find all providers in zip 60045 |
Taxonomy Code | 213ES0131X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902269301 | Jillian Cabai | Podiatrist | 3000 N Halsted St Ste 606, Chicago, IL 60657-6456 | 2016-04-01 |
1710279641 | Prpodiatry, LLC | Podiatrist | 433 W Briar Pl, Unit 7b, Chicago, IL 60657-4752 | 2011-05-11 |
1205071149 | Bradley W. Buckrop Dpm | Podiatrist | 3727 46th Ave, Suite 103, Rock Island, IL 61201-7078 | 2008-12-05 |
1396919130 | Marwa Sayed | Podiatrist | 7255 W 87th St Unit 1, Bridgeview, IL 60455-1821 | 2008-04-14 |
1013191287 | Nikola Ivancevic Dpm PC | Podiatrist | 135 S Palmer Dr, Suite 105, Elmhurst, IL 60126-3403 | 2007-12-24 |
1659577575 | Pam Eernisse Dpm Sc | Podiatrist | 680 N Lake Shore Dr # 1305, Chicago, IL 60611-4546 | 2007-06-26 |
1720118367 | Larry Allen Keyes | Podiatrist | 1023 Madison St, Oak Park, IL 60302-4404 | 2007-03-06 |
1548399462 | Two Steps Ahead Podiatry, Inc. | Podiatrist | 1001 E Wilson St Ste 180, Batavia, IL 60510-3168 | 2007-03-05 |
1447392972 | Willie Lee Brown | Podiatrist | 10700 Lincoln Trl, Suite E, Fairview Heights, IL 62208-2037 | 2007-02-12 |
1972685410 | Nikola Ivancevic | Podiatrist | 5646 St Charles Rd, Suite B, Berkeley, IL 60163 | 2006-10-20 |
Find all providers with the same taxonomy |
City | LAKE FOREST |
Zip Code | 60045 |
Please comment or provide details below to improve the information on JULIE M STRIDE.
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.