Organization Active NPI

Julieta Joson-Luna MD SC

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1356673842
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
036049534 Issued in IL
Legal business name
JULIETA JOSON-LUNA MD SC
Practice address
5906 W Montrose Ave
Chicago, IL 60634-1625
Phone
(773) 286-1464
Fax
(773) 286-4001
NPI assigned
Feb 8, 2010
Last updated
Feb 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Julieta Joson-Luna
Title
President
Phone
(773) 286-1464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 036049534 IL Primary

Addresses

Primary practice location

5906 W Montrose Ave
Chicago, IL 60634-1625

Mailing address

5906 W Montrose Ave
Chicago, IL 60634-1625
Phone (773) 286-1464

Other identifiers 2

IdentifierTypeStateIssuer
1104991413OtherILNPI TYPE 1
036049534MedicaidIL

National Provider Directory

National Provider Directory

Locations

5906 W Montrose Ave
Chicago, IL 60634
Phone (312) 286-1464

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1356673842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5906 W MONTROSE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606341625",
            "telephone_number": "773-286-1464",
            "fax_number": "773-286-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5906 W MONTROSE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606341625",
            "telephone_number": "773-286-1464",
            "fax_number": "773-286-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIETA JOSON-LUNA MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "JOSON-LUNA",
        "authorized_official_first_name": "JULIETA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-286-1464"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "036049534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1104991413",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036049534",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.