Provider Demographics
NPI:1194158741
Name:RAYE, JULIE LYNN (MED)
Entity type:Individual
Prefix:MISS
First Name:JULIE
Middle Name:LYNN
Last Name:RAYE
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 JEANETTE PL
Mailing Address - Street 2:
Mailing Address - City:MUNDELEIN
Mailing Address - State:IL
Mailing Address - Zip Code:60060-1817
Mailing Address - Country:US
Mailing Address - Phone:847-404-3258
Mailing Address - Fax:
Practice Address - Street 1:325 JEANETTE PL
Practice Address - Street 2:
Practice Address - City:MUNDELEIN
Practice Address - State:IL
Practice Address - Zip Code:60060-1817
Practice Address - Country:US
Practice Address - Phone:847-404-3258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-19
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor