Provider Demographics
NPI:1063589315
Name:STUHR, JUDITH KEITH (PHD)
Entity type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:KEITH
Last Name:STUHR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1910 N. MOHAWK ST.
Mailing Address - Street 2:#21
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-5220
Mailing Address - Country:US
Mailing Address - Phone:312-751-9471
Mailing Address - Fax:
Practice Address - Street 1:30 N MICHIGAN AVE
Practice Address - Street 2:STE. 1103
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3402
Practice Address - Country:US
Practice Address - Phone:312-284-1330
Practice Address - Fax:312-284-1331
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071-006764103TC0700X
AL001331103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK12087Medicare PIN