Provider Demographics
NPI:1649679887
Name:STEIN, JULIE
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:STEIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11457 OLDE CABIN RD
Mailing Address - Street 2:SUITE 337
Mailing Address - City:CREVE COEUR
Mailing Address - State:MO
Mailing Address - Zip Code:63141-7139
Mailing Address - Country:US
Mailing Address - Phone:314-888-6653
Mailing Address - Fax:314-888-6662
Practice Address - Street 1:1488 WAUKEGAN RD
Practice Address - Street 2:SUITE 26
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-2121
Practice Address - Country:US
Practice Address - Phone:847-730-3471
Practice Address - Fax:847-730-5276
Is Sole Proprietor?:No
Enumeration Date:2014-08-13
Last Update Date:2014-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3069237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist