Organization
CHICVARA & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE CHICVARA PSY.D. (PRESIDENT)
(708) 473-2445
Entity
Organization
Contact information
Practice address
19102 S BLACKHAWK PKWY, SUITE 25E, MOKENA, IL 60448-8985
(708) 473-2445
(815) 469-6666
Mailing address
PO BOX 613, CHANNAHON, IL 60410-0613
(815) 521-1889
(815) 521-1889
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008055
IL
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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