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NPI Code Detail

MEDICARE: JULIE RAYMOND LCPC

MEDICARE: JULIE RAYMOND LCPC
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
1172V00000XCommunity Health Worker180.010054IL

General Provider Information

NPI Number : 1144687039
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE RAYMOND LCPC
Provider Business Mailing Address
First Line : 1900 N LINCOLN AVE UNIT B01
Second Line :
City : CHICAGO
State : IL
Zip : 60614-6573
Country : US
Telephone Number : 312-888-6935
Fax Number :
Provider Business Practice Location Address
First Line : 300 W ADAMS ST STE 514
Second Line :
City : CHICAGO
State : IL
Zip : 60606-5108
Country : US
Telephone Number : 312-578-9990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2016
Last Update Date : 01/22/2016

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Directions to “ JULIE RAYMOND LCPC” Practice Location

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