Active NPI
Julia Grace Bania, WHNP-BC
- Women's Health Nurse Practitioner
- New Lenox, IL
National Provider Identifier
1104367655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 209.015765
- Practice address
- 1890 Silver Cross Blvd
#210
New Lenox, IL 60451-9524 - Phone
- (815) 463-3000
- NPI assigned
- Mar 16, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 209.015765 | IL | Primary |
Addresses
Primary practice location
1890 Silver Cross Blvd
#210
New Lenox, IL 60451-9524
Mailing address
713 Fairlane Dr
Joliet, IL 60435-5155
Phone (815) 342-7616
Other practice location 1
111 W Jackson Blvd Ste 1700
Chicago, IL 60604
Phone (888) 731-8994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.015765 | IL | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partners in Obstetrics & Womens Health | Current | Accepting new patients | |
| Integrative Womens Care PC | Past | Accepting new patients |
Locations
1890 Silver Cross Blvd
Ste 210
New Lenox, IL 60451
Phone (815) 463-3000
Interoperability endpoints
- julia.bania.1@13826.direct.athenahealth.com
- julia.bania.1@27069.direct.athenahealth.com
- https://fhir4.healow.com/fhir/r4/GEFBDA
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- New Lenox, IL
- NPI 1295894616
-
- Obstetrics & Gynecology Physician
- Palo Alto, CA
- NPI 1972266732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734825600000",
"number": "1104367655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 FAIRLANE DR",
"city": "JOLIET",
"state": "IL",
"postal_code": "604355155",
"telephone_number": "815-342-7616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1890 SILVER CROSS BLVD",
"address_2": "#210",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604519524",
"telephone_number": "815-463-3000"
}
],
"practiceLocations": [
{
"address_1": "111 W Jackson Blvd Ste 1700",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "60604",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANIA",
"first_name": "JULIA",
"middle_name": "GRACE",
"credential": "WHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-16",
"last_updated": "2024-12-22",
"certification_date": "2024-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "IL",
"license": "209.015765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Lenox, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.