Organization Active NPI

Juli K. Chaffee, Inc.

  • Social Worker
  • McHenry, IL
National Provider Identifier
1417295205
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150004780 Issued in IL
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

Updated by the provider on Dec 19, 2022

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)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20140625001237 IL Part B Supplier - Clinic/Group Practice 8224253737 Receives reassigned benefits from 1 practitioner
Practice locations: McHenry, IL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.