MEDICARE: DR. JILLIAN THRALL PHD

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	103T00000X	Psychologist	071.022329	IL

General Provider Information

NPI Number	:	1639730310
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JILLIAN THRALL PHD

Provider Business Mailing Address
First Line	:	4609 N WOLCOTT AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-4303
Country	:	US
Telephone Number	:	602-541-1829
Fax Number	:

Provider Business Practice Location Address
First Line	:	4609 N WOLCOTT AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-4303
Country	:	US
Telephone Number	:	602-541-1829
Fax Number	:

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

Provider Enumeration Date	:	06/24/2019
Last Update Date	:	11/03/2025

Similar Medicare Providers

1598539603 — RAECHEL PIERCE LCSW
Practice Location Address:

4609 N WOLCOTT AVE
CHICAGO, IL
60640-4303

Practice Phone: 312-667-3884
Practice Fax:

1548091036 — NORTHSIDE PSYCHOLOGY SERVICES PLLC
Practice Location Address:

4609 N WOLCOTT AVE
CHICAGO, IL
60640-4303

Practice Phone: 773-217-8599
Practice Fax:

1508920349 — JAMES M STEVENS O.D.
Practice Location Address:

1601 N HARLEM AVE
CHICAGO, IL
60707-4303

Practice Phone: 773-836-4110
Practice Fax: 773-637-1109

1265653026 — MRS. BONNIE SARA FRIEDMAN M.A., CCC-SLP
Practice Location Address:

6551 N MOZART ST
CHICAGO, IL
60645-4303

Practice Phone: 773-381-5169
Practice Fax: 773-381-5169

1205136330 — MR. STEPHEN JAMES SAWYER PA-C
Practice Location Address:

6141 N CICERO AVE
CHICAGO, IL
60646-4303

Practice Phone: 773-293-8788
Practice Fax: 773-293-8791

1336440619 — ENVISION UNLIMITED FOSTER CARE PROGRAM
Practice Location Address:

5333 S GREENWOOD AVE
CHICAGO, IL
60615-4303

Practice Phone: 773-241-5700
Practice Fax: 773-241-5702

Directions to “ DR. JILLIAN THRALL PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.