1881992774 NPI number — MRS. JULIE CHRISTINE FRANKLIN LCSW

Table of content: MRS. JULIE CHRISTINE FRANKLIN LCSW (NPI 1881992774)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881992774 NPI number — MRS. JULIE CHRISTINE FRANKLIN LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FRANKLIN
Provider First Name:
JULIE
Provider Middle Name:
CHRISTINE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881992774
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/06/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7802 LOIS LOWRY LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MADISON
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
53719-4109
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
847-207-3417
Provider Business Mailing Address Fax Number:
630-206-0411

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 N. 121 COUNTY FARM RD
Provider Second Line Business Practice Location Address:
SUITE 220
Provider Business Practice Location Address City Name:
WINFIELD
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60190
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
224-698-1182
Provider Business Practice Location Address Fax Number:
630-206-0411
Provider Enumeration Date:
03/02/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  149014434 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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