Chicvara & Associates | |
19102 S Blackhawk Pkwy Suite 25e Mokena IL 60448-8985 | |
(708) 473-2445 | |
(815) 469-6666 |
Full Name | Chicvara & Associates |
---|---|
Speciality | Psychologist - Clinical |
Location | 19102 S Blackhawk Pkwy, Mokena, Illinois |
Authorized Official Name and Position | Julie Chicvara (PRESIDENT) |
Authorized Official Contact | 7084732445 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Chicvara & Associates Po Box 613 Channahon IL 60410-0613 Ph: (815) 521-1889 | Chicvara & Associates 19102 S Blackhawk Pkwy Suite 25e Mokena IL 60448-8985 Ph: (708) 473-2445 |
NPI Number | 1043590342 |
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Provider Enumeration Date | 08/18/2011 |
Last Update Date | 08/18/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043590342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 071008055 (Illinois) | Primary |
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