Active NPI
Juli K. Chaffee, Inc.
- Social Worker
- McHenry, IL
National Provider Identifier
1417295205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150004780
- Legal business name
- JULI K. CHAFFEE, INC.
- Practice address
- 4306 W Crystal Lake Rd Ste C
McHenry, IL 60050-4249 - Phone
- (877) 375-3484
- Fax
- (877) 375-3484
- NPI assigned
- Jan 29, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Taylor Beggs
- Title
- Office Manager
- Phone
- (877) 375-3484
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150004780 | IL | Primary |
Addresses
Primary practice location
4306 W Crystal Lake Rd Ste C
McHenry, IL 60050-4249
Mailing address
713 Autumn Oaks CT
Volo, IL 60073-8200
Phone (815) 566-0887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
61 S Old Rand Rd
Lake Zurich, IL 60047
Phone (847) 438-4222
4306 W Crystal Lake Rd
Ste C
McHenry, IL 60050
Phone (815) 566-0887
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- McHenry, IL
- NPI 1992083026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671408000000",
"number": "1417295205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 AUTUMN OAKS CT",
"city": "VOLO",
"state": "IL",
"postal_code": "600738200",
"telephone_number": "815-566-0887",
"fax_number": "815-566-0887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4306 W CRYSTAL LAKE RD STE C",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600504249",
"telephone_number": "877-375-3484",
"fax_number": "877-375-3484"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JULI K. CHAFFEE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-29",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A",
"authorized_official_last_name": "BEGGS",
"authorized_official_first_name": "TAYLOR",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "877-375-3484"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "IL",
"license": "150004780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McHenry, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.