Provider Demographics
NPI:1417295205
Name:JULI K. CHAFFEE, INC.
Entity Type:Organization
Organization Name:JULI K. CHAFFEE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:
Authorized Official - Last Name:BEGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-375-3484
Mailing Address - Street 1:713 AUTUMN OAKS CT
Mailing Address - Street 2:
Mailing Address - City:VOLO
Mailing Address - State:IL
Mailing Address - Zip Code:60073-8200
Mailing Address - Country:US
Mailing Address - Phone:815-566-0887
Mailing Address - Fax:815-566-0887
Practice Address - Street 1:4306 W CRYSTAL LAKE RD STE C
Practice Address - Street 2:
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050-4249
Practice Address - Country:US
Practice Address - Phone:877-375-3484
Practice Address - Fax:877-375-3484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-29
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150004780104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty