| Doctor Name: | JULIA FIRLIT BUESSER |
| NPI Number: | 1013390491 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 209012894 |
| Business Practice Address: | 305 Marengo Ave Forest Park, IL - 601301603 |
| Business Phone Number: | 9177749771 |
| Business Fax Number: | |
| Mailing Address: | 305 Marengo Ave, FOREST PARK |
| State: | IL |
| Postal Code: | 601301603 |
| Phone Number: | 9177749771 |
| Fax Number: | |
| NPI Enumeration Date: | 07/03/2015 |
| NPI Last Update Date: | 07/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 209012894 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |