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Search › Illinois › 390200000X

Julian Wallis

NPI 1063112720 · on the registry since 2023 · sole proprietor

Practice

Address
800 Elgin Rd Apt 1316
Evanston, IL 60201
Phone
(312) 273-8704
Organisation at this address
Blue Bolt Pediatric Care
Coco Health Management, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
390200000X
390200000X
Sex
Male
Record last updated
2023-03-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois