MEDICARE: MS. JULIE MARIE LUDWICK A.T.R.-B.C, L.C.P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	221700000X	Art Therapist	180.007792	IL
2	101Y00000X	Counselor	180.007792	IL
3	101YM0800X	Mental Health Counselor	180.007792	IL
4	221700000X	Art Therapist	146-36	WI
5	101YP2500X	Professional Counselor	180.007792	IL

General Provider Information

NPI Number	:	1114218856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JULIE MARIE LUDWICK A.T.R.-B.C, L.C.P.C.

Provider Business Mailing Address
First Line	:	4527 N KEOKUK AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60630-4220
Country	:	US
Telephone Number	:	773-633-6569
Fax Number	:

Provider Business Practice Location Address
First Line	:	4527 N KEOKUK AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60630-4220
Country	:	US
Telephone Number	:	773-633-6569
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2011
Last Update Date	:	09/25/2025

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