Provider Demographics
NPI:1871914580
Name:ELKIN, JULIA (APRN, CRNA)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:ELKIN
Suffix:
Gender:F
Credentials:APRN, CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8420 W BRYN MAWR AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60631-3436
Mailing Address - Country:US
Mailing Address - Phone:773-355-5300
Mailing Address - Fax:773-714-1353
Practice Address - Street 1:8420 W BRYN MAWR AVE STE 300
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-3436
Practice Address - Country:US
Practice Address - Phone:773-355-5300
Practice Address - Fax:773-714-1353
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-23
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209011115367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered