William J Udrow, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071008384 Issued in IL

Practice address

501 Ella Ave
Joliet, IL 60433-2799

Phone

(815) 727-8521

NPI assigned

May 5, 2011

Last updated

Sep 11, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Will County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Joliet, IL
  • NPI 1902811714
  Medicare reassignment
• Will County Community Health Center

  dba Will County Community Health Center North

  • Federally Qualified Health Center (FQHC)
  • Bolingbrook, IL
  • NPI 1346772373
  NPD

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1598057713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4823 W GRACE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ELLA AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604332799",
            "telephone_number": "815-727-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDROW",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-05",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nick William Turton
• Mary Eileen Twardowski, ANP-BC
• Lynette Twombly
• Jeffry A Tyler, M.D.
• Kristin K Tyminski, LCSW
• Kristen Ufferman, M.D.
• Gabrielle Ann Ulanowski
• Patricia Ulloa-Guzman
• Rogoberto Ulloa, DDS
• Kristy Ann Ulm, MOT, OTR/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.