| Organization Name: | CHICVARA & ASSOCIATES |
| NPI Number: | 1043590342 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JULIE CHICVARA (PRESIDENT) |
| Mailing Address: | 19102 S Blackhawk Pkwy Suite 25e Mokena |
| State: | IL US |
| Postal Code: | 604488985 |
| Phone Number: | 7084732445 |
| Fax Number: | 8154696666 |
| NPI Enumeration Date: | 08/18/2011 |
| NPI Last Update Date: | 08/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 071008055 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |