Basic Information
| Provider Information | |||||||||
| NPI: | 1932719507 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCCARTHY | ||||||||
| FirstName: | JULIE | ||||||||
| MiddleName: | ANN | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | APRN, CNM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9650 GROSS POINT RD STE 1900 | ||||||||
| Address2: | |||||||||
| City: | SKOKIE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600765006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8479331773 | ||||||||
| FaxNumber: | 8476791505 | ||||||||
| Practice Location | |||||||||
| Address1: | 9650 GROSS POINT RD STE 1900 | ||||||||
| Address2: | |||||||||
| City: | SKOKIE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600765006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8479331773 | ||||||||
| FaxNumber: | 8476791505 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/07/2020 | ||||||||
| LastUpdateDate: | 07/26/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 07/26/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 176B00000X | 209.022054 | IL | N | Other Service Providers | Midwife | 176B00000X | 019440 | OH | N | Other Service Providers | Midwife | 367A00000X | 209022054 | IL | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
No ID Information.