Active NPI
Julie Chicks, M.D.
- Internal Medicine Physician
- Grafton, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 40099
- Legal business name
- JULIE CHICKS, M.D.
- Practice address
- 1990 Wisconsin Ave
Grafton, WI 53024-2601 - Phone
- (262) 377-2900
- Fax
- (262) 377-5349
- NPI assigned
- May 29, 2014
- Last updated
- May 29, 2014
- 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
- Dr. Julie Ann Chicks, M.D.
- Title
- Owner
- Phone
- (262) 377-2900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 40099 | WI | Primary |
Addresses
Primary practice location
1990 Wisconsin Ave
Grafton, WI 53024-2601
Mailing address
1990 Wisconsin Ave
Grafton, WI 53024-2601
Phone (262) 377-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32523800 | Medicaid | WI |
National Provider Directory
National Provider Directory- Tax ID family
- Julie Chicks MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Julie Chicks M.D.
- Internal Medicine Physician
- Cedarburg, WI
- NPI 1316997034
Locations
1990 Wisconsin Ave
Grafton, WI 53024
Phone (262) 375-2305
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Addiction Medicine (Internal Medicine) Physician
- Grafton, WI
- NPI 1265482830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401321600000",
"number": "1518379221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1990 WISCONSIN AVE",
"city": "GRAFTON",
"state": "WI",
"postal_code": "530242601",
"telephone_number": "262-377-2900",
"fax_number": "262-377-5349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1990 WISCONSIN AVE",
"city": "GRAFTON",
"state": "WI",
"postal_code": "530242601",
"telephone_number": "262-377-2900",
"fax_number": "262-377-5349"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JULIE CHICKS, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-29",
"last_updated": "2014-05-29",
"status": "A",
"authorized_official_last_name": "CHICKS",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "262-377-2900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "40099",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32523800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grafton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.