| Juli K. Chaffee, Inc. | |
|
4306 W Crystal Lake Rd Ste C Mchenry IL 60050-4249 | |
| (877) 375-3484 | |
| (877) 375-3484 |
| Full Name | Juli K. Chaffee, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 4306 W Crystal Lake Rd Ste C, Mchenry, Illinois |
| Authorized Official Name and Position | Taylor Beggs (OFFICE MANAGER) |
| Authorized Official Contact | 8773753484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Juli K. Chaffee, Inc. 713 Autumn Oaks Ct Volo IL 60073-8200 Ph: (815) 566-0887 | Juli K. Chaffee, Inc. 4306 W Crystal Lake Rd Ste C Mchenry IL 60050-4249 Ph: (877) 375-3484 |
| NPI Number | 1417295205 |
|---|---|
| Provider Enumeration Date | 01/29/2013 |
| Last Update Date | 12/19/2022 |
| Certification Date | 12/19/2022 |
| Medicare PECOS PAC ID | 8224253737 |
|---|---|
| Medicare Enrollment ID | O20140625001237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417295205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 150004780 (Illinois) | Primary |
| Provider Name | Juli K Chaffee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992083026 PECOS PAC ID: 6002062213 Enrollment ID: I20120803000153 |
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