Chicvara, Julie Anne

Chicvara, Julie Anne is an sole proprietor health care provider with primary practice located at 20635 Abbey Woods Ct N Suite 207, Frankfort IL 60423-3181. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Chicvara, Julie Anne can be contacted via phone (708) 473-2445.

Contact Information

Primary practice address
20635 Abbey Woods Ct N Suite 207 Frankfort IL 60423-3181
Phone: (708) 473-2445
Fax: (708) 966-4363
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 178006050 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071008055 Illinois

Profile Details

NPI number 1689817587
LBN Legal business name Chicvara, Julie Anne
Credentials PSYD, LCP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2009
Last updated Jan 16th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689817587 NPPES
Illinois Other 01623882 BC/BS

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