Provider Demographics
NPI:1285071183
Name:JULIE HOLLICH, INC
Entity type:Organization
Organization Name:JULIE HOLLICH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH THERAPIST/ PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CAMERON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:847-280-1533
Mailing Address - Street 1:1931 SUNNYSIDE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-5943
Mailing Address - Country:US
Mailing Address - Phone:847-280-1533
Mailing Address - Fax:855-770-8027
Practice Address - Street 1:1629 S PRAIRIE AVE
Practice Address - Street 2:UNIT 3002
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616-5360
Practice Address - Country:US
Practice Address - Phone:847-280-1533
Practice Address - Fax:855-770-8027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-31
Last Update Date:2017-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.008395235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty