Individual
JULIE CHODACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
65 E WACKER PL, SUITE 2100, CHICAGO, IL 60601-7296
(312) 201-5900
(312) 201-0250
Mailing address
65 E WACKER PL, SUITE 2100, CHICAGO, IL 60601-7296
(312) 201-5900
(312) 201-0250
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K25884
MEDICARE ID-UNSPECIFIED
IL
Enumeration date
08/08/2006
Last updated
02/25/2008
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