Individual
JULIE G WRENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
307 N MICHIGAN AVE, SUITE 2024, CHICAGO, IL 60601-5311
(312) 409-5134
Mailing address
PO BOX 387, ADDISON, IL 60101-0387
(312) 409-5134
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1623089
BCBS PROVIDER NUMBER
IL
Enumeration date
09/24/2006
Last updated
07/08/2007
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