Provider Demographics
NPI:1992083026
Name:CHAFFEE, JULI (MSW LSW)
Entity type:Individual
Prefix:
First Name:JULI
Middle Name:
Last Name:CHAFFEE
Suffix:
Gender:F
Credentials:MSW LSW
Other - Prefix:
Other - First Name:JULI
Other - Middle Name:
Other - Last Name:CHANDLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:713 AUTUMN OAKS CT
Mailing Address - Street 2:
Mailing Address - City:VOLO
Mailing Address - State:IL
Mailing Address - Zip Code:60073-8200
Mailing Address - Country:US
Mailing Address - Phone:815-566-0887
Mailing Address - Fax:
Practice Address - Street 1:4306 W CRYSTAL LAKE RD STE C
Practice Address - Street 2:
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050-4249
Practice Address - Country:US
Practice Address - Phone:877-375-3484
Practice Address - Fax:877-375-3484
Is Sole Proprietor?:No
Enumeration Date:2011-07-22
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150004780104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker