Chicvara & Associates

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071008055 Issued in IL

Legal business name

CHICVARA & ASSOCIATES

Practice address

19102 S Blackhawk Pkwy
Suite 25E
Mokena, IL 60448-8985

Phone

(708) 473-2445

Fax

(815) 469-6666

NPI assigned

Aug 18, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Julie Chicvara, PSY.D.

Title

President

Phone

(708) 473-2445

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelsey Lutz, MA, LPC

  • Behavior Technician
  • Gardner, IL
  • NPI 1366093775
  NPD (past)
• Marissa Webb, MA, LCPC

  • Professional Counselor
  • Mokena, IL
  • NPI 1609237866
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1043590342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 613",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604100613",
            "telephone_number": "815-521-1889",
            "fax_number": "815-521-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19102 S BLACKHAWK PKWY",
            "address_2": "SUITE 25E",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488985",
            "telephone_number": "708-473-2445",
            "fax_number": "815-469-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICVARA & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "CHICVARA",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-473-2445",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diana Chojna, APRN, CNP
• Abraham Jose Chourio, SA-C

• Clinical Psychologist in Mokena, IL
• Providers in Mokena, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.