Provider Demographics
NPI:1750867107
Name:MCQUERRY, JULIA
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:MCQUERRY
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 1:1430 W PRATT BLVD UNIT D
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60626-5744
Mailing Address - Country:US
Mailing Address - Phone:812-736-8272
Mailing Address - Fax:
Practice Address - Street 1:1430 W PRATT BLVD UNIT D
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60626-5744
Practice Address - Country:US
Practice Address - Phone:812-736-8272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-18
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490257061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical