Yuritzy Chavez, ED.S.
Individual provider Active NPI School Psychologist · Summit, IL
NPI 1972014702 · NPPES record last updated Oct 19, 2017
Key facts
- NPI
- 1972014702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 1121146 (IL)
- Practice address
- 6021 S 74TH Ave
Summit, IL 60501-1500 - Phone
- (708) 458-7260
- NPI assigned
- Oct 19, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1121146 | IL | MD | School Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1121146 | IL | Yes |
Addresses
Primary practice location
6021 S 74TH Ave
Summit, IL 60501-1500
Mailing address
6021 S 74TH Ave
Summit, IL 60501-1500
Phone (708) 458-7260
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All providers in Summit, IL · School Psychologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.