Individual
DR. JULIE ANNE CHICVARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LCP
Contact information
Practice address
20635 ABBEY WOODS CT N, SUITE 207, FRANKFORT, IL 60423-3181
(708) 473-2445
(708) 966-4363
Mailing address
14923 DOGWOOD DR, ORLAND PARK, IL 60462-3424
(708) 473-2445
(708) 966-4363
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178006050
IL
103TC0700X
Clinical Psychologist
Primary
071008055
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623882
BC/BS
IL
Enumeration date
04/08/2009
Last updated
01/16/2011
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