Provider Demographics
NPI:1366314866
Name:PETERS, JULIE A (MSW, LSW)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:A
Last Name:PETERS
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 BRIARGATE DR STE 700
Mailing Address - Street 2:
Mailing Address - City:SOUTH ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60177-2284
Mailing Address - Country:US
Mailing Address - Phone:847-488-1999
Mailing Address - Fax:847-488-9797
Practice Address - Street 1:460 BRIARGATE DR STE 700
Practice Address - Street 2:
Practice Address - City:SOUTH ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60177-2284
Practice Address - Country:US
Practice Address - Phone:847-488-1999
Practice Address - Fax:847-488-9797
Is Sole Proprietor?:No
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL044011281314000000X
IL150.1044.48104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility