Julie Fitzgerald
Pediatrics (Pediatric Critical Care Medicine)

Address: 2160 S 1st Ave, Maywood, IL 60153-3328
Phone: 7083279137

Julie Fitzgerald (NPI# 1508916545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1508916545
Entity Type Individual
Full Name Julie Fitzgerald
Credential MD
Gender Female
Practice Address 2160 S 1st Ave
Maywood
IL 60153-3328
Practice Telephone 7083279137
Mailing Address 2160 S 1st Ave
Maywood
IL 60153-3328
Mailing Telephone 7083279137
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2007-01-11
Last Update Date 2014-11-17

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 2080P0203X Pediatrics · Pediatric Critical Care Medicine Allopathic & Osteopathic Physicians 036106798 IL

Other Provider Identifier

State Identifier Issuer Type Code
IL 036106798 MEDICAID

Providers with the same name

NPI Name Taxonomy Address Enumeration
1902401433 Julie Fitzgerald Nurse Practitioner 900 S Pavilion Center Dr Ste 180, Las Vegas, NV 89144-4584 2020-12-02
1497882674 Julie Fitzgerald Massage Therapist 630 N Chelan Ave Ste A3, Wenatchee, WA 98801-6622 2007-02-27
1982987749 Julie Eldredge Fitzgerald Physician Assistant 530 Demoss Street, Hidalgo Medical Services, Lordsburg, NM 88045-2618 2011-09-27
1427224039 Julie M. Fitzgerald Speech-Language Pathologist 2727 W Mitchell St, Milwaukee, WI 53215-2259 2008-05-03
1316137813 Julie Christina Hollows Fitzgerald Pediatrics 34th Street & Civic Center Boulevard, Suite 9329, Philadelphia, PA 19104-4399 2007-07-31
1043424211 Julie Anne Fitzgerald Counselor 320 High St Ne, Warren, OH 44481-1222 2007-05-09
1013139815 Julie Fitzgerald Optometrist 806 Landmark Dr, Ste 114, Glen Burnie, MD 21061-4966 2007-05-02
1487748919 Julie Ann Fitzgerald Anesthesiology 1465 E Parkdale Ave, Manistee, MI 49660-9785 2006-10-02

Physician Overview

NPI 1508916545
PAC ID by PECOS 5294765442
Professional Enrollment ID I20050817000309
Full Name Julie Lynn Fitzgerald
Organization Legal Name LOYOLA UNIVERSITY MEDICAL CENTER
Phone Number 7082169000
Gender F
Credential MD
Medical School LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduation Year 1998
Primary Specialty PEDIATRIC MEDICINE
Secondary Specialties CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE
Group Practice PAC ID 3779488903
Number of Group Practice Members 801
Accepts Medicare Assignment Y

Taxonomy Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831432756 Samantha Dawn Friedman Pediatrics 2160 S 1st Ave, Maywood, IL 60153-3328 2013-03-28
1427348440 Tisha L Spence Pediatrics 2160 S 1st Ave, Maywood, IL 60153-3328 2011-04-11
1497991509 Almas Farheen Syed Pediatrics 2160 S 1st Ave, Maywood, IL 60153-3328 2008-12-18
1952377723 Mufutau Akinbile Pediatrics 2160 S First Ave, 101-1740 Loyola University Medical Center, Maywood, IL 60153 2006-02-23
1831163815 Kathleen Webster Pediatrics 2160 S First Ave, (maguire Center, Rm. 3307), Maywood, IL 60153 2006-02-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982150702 Kayla Duvall Pediatrics 5841 S Maryland Ave # 1145, Chicago, IL 60637-1443 2016-08-31
1215304258 Huda Adam Pediatrics 5706 S Blackstone Ave, Unit 1, Chicago, IL 60637-1824 2015-08-25
1699916932 Deanna Marie Behrens Pediatrics 840 S. Wood, Department of Pediatrics, Uic, Chicago, IL 60612 2009-03-17
1326207663 Lauren Elizabeth Marsillio Pediatrics 225 E Chicago Ave # 15-119d, Chicago, IL 60611-2991 2008-06-02
1376606491 Pallavi P. Patwari Pediatrics 1620 W Harrison St, Suite 7 Kellogg, Chicago, IL 60612-3801 2006-12-19
1972665974 Denise M. Goodman Pediatrics 2300 N Childrens Plz # 73, Chicago, IL 60614-3363 2006-12-15
1447267497 Enrique Guillermo Cifuentes Pediatrics 4440 W. 95th Street, Oak Lawn, IL 60453 2006-08-02
1386659415 Bharat K Kotadia Pediatrics 1822 Arlington Ln, Glendale Heights, IL 60139-1309 2006-07-29
1447271911 Mary Christine Baldauf Pediatrics 2400 N Rockten Ave, Rockford Health Physicians, Rockford, IL 61103-3619 2006-07-21
1407897887 Rachel K Wolfson Pediatrics 5839 S Maryland Ave, Mc 4064, Chicago, IL 60637-1463 2006-06-09
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Office Location

Street Address 2160 S 1ST AVE
City MAYWOOD
State IL
Zip Code 60153-3328

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174525489 Michael Jm Raffin Audiologist 2160 S 1st Ave, Maywood, IL 60153-3328 2005-06-01
1295330868 Yucel Yankol Surgery 2160 S 1st Ave, Maywood, IL 60153-3328 2020-12-02
1699370130 Victoria Shink Nurse Anesthetist, Certified Registered 2160 S 1st Ave, Maywood, IL 60153-3328 2020-12-02
1366049900 Kenneth Bernard Jordan Psychiatry & Neurology 2160 S 1st Ave, Maywood, IL 60153-3328 2020-10-06
1124634712 Abhilasha Nitin Borkar Pathology 2160 S 1st Ave, Maywood, IL 60153 2020-09-18
1306450325 Linda Ippolito Nurse Practitioner 2160 S 1st Ave, Maywood, IL 60153-3328 2020-09-08
1194339135 Meghan Henry Nurse Practitioner 2160 S 1st Ave, Maywood, IL 60153-3328 2020-09-08
1194339911 Victoria Leah Drozd Student in an Organized Health Care Education/Training Program 2160 S 1st Ave, Maywood, IL 60153-3328 2020-08-31
1396357588 Madison Schaefer Nurse Practitioner 2160 S 1st Ave, Maywood, IL 60153-3328 2020-08-19
1134731375 Otanthia S Williams-brady Nurse Practitioner 2160 S 1st Ave, Maywood, IL 60153-3328 2020-08-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053933077 Judie Noemie Hoilat Internal Medicine 2160 S 1st Avenue, Maywood, IL 60153 2020-05-13
1457972457 Yuchen Zheng Student in an Organized Health Care Education/Training Program Department of Neurology, Loyola University Medical Cent, 2160 S. First Ave, Maywood, IL 60153 2020-04-30
1437779519 Amna Amad Siddiqui Student in an Organized Health Care Education/Training Program 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 2020-04-20
1982232211 Brian Kurtz Student in an Organized Health Care Education/Training Program 2160 S First Ave, Bulding 105-suite 2840a, Maywood, IL 60153 2020-03-31
1902434947 Saadiya Jabbar Psychiatry & Neurology Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 2020-03-27
1558919472 Linda Sue Moton Technician 10 South 15 Apt. 1, Maywood, IL 60153 2019-09-04
1760047518 Braden Robert Dasovic Student in an Organized Health Care Education/Training Program 2160 S. First Avenue Building 105/room 2700, Department, Loyola Medical Center, Maywood, IL 60153 2019-05-07
1134680713 Madeline Shaoyun Tiee Orthopaedic Surgery Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 2019-03-27
1538629746 Michael Murphy Orthopaedic Surgery 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 2019-03-22
1053871681 Michael V Padua Psychiatry & Neurology 2160 S 1st Ave Bldg, Maywood, IL 60153 2019-03-20
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Competitor

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City MAYWOOD
Zip Code 60153

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.