Provider Demographics
NPI:1063727352
Name:STERCHI, CHELSEY J
Entity type:Individual
Prefix:MISS
First Name:CHELSEY
Middle Name:J
Last Name:STERCHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 E BUTLER ST
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:IL
Mailing Address - Zip Code:62450-2646
Mailing Address - Country:US
Mailing Address - Phone:618-707-5979
Mailing Address - Fax:
Practice Address - Street 1:1020 E BUTLER ST
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:IL
Practice Address - Zip Code:62450-2646
Practice Address - Country:US
Practice Address - Phone:618-707-5979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-11
Last Update Date:2016-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1063727352Medicaid