MEDICARE: MISS JULIA TEHOVNIK 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
1	101YP2500X	Professional Counselor	178.013782	IL
2	101YP2500X	Professional Counselor	180.013426	IL

General Provider Information

NPI Number	:	1376032391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS JULIA TEHOVNIK LCPC

Provider Business Mailing Address
First Line	:	3838 N RAVENSWOOD AVE # 2008
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-5651
Country	:	US
Telephone Number	:	312-625-6634
Fax Number	:

Provider Business Practice Location Address
First Line	:	3838 N RAVENSWOOD AVE # 2008
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-5651
Country	:	US
Telephone Number	:	312-625-6634
Fax Number	:

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

Provider Enumeration Date	:	05/04/2018
Last Update Date	:	05/27/2025

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