JACQUELINE CALLES


Address: 4904 W. 32nd St, Cicero, IL 60804
Phone: 3123422642

JACQUELINE CALLES (NPI# 1265966832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265966832
Entity Type Individual
Full Name JACQUELINE CALLES
Practice Address 4904 W. 32nd St
Cicero
IL 60804
Practice Telephone 3123422642
Mailing Telephone 3123422642
Enumeration Date 2017-04-20
Last Update Date 2017-04-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3245S0500X Substance Abuse Rehabilitation Facility
Specialization: Substance Abuse Treatment, Children
C42042292898 IL Residential Treatment Facilities

Office Location

Street Address 4904 W. 32ND ST
City CICERO
State IL
Zip Code 60804

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1265096945 Jacqueline N/a Gonzalez Physical Therapy Assistant 3521 S 56th Ct, Cicero, IL 60804 2019-04-27
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1538580469 Jesus Paul Sanchez Behavioral Analyst 3100 S. Central Ave, Cicero, IL 60804 2013-12-19
1568712123 Monil P Shah Dmd PC Dentist 5539 W Cermak Road, Cicero, IL 60804 2012-09-11
1699073148 Lolita Aguinaga Social Worker 5341 W. Cermak Road, Cicero, IL 60804 2011-03-08
1699949263 Anne T Gearhart Pediatrics 2307 S Cicero Ave, Chicago, IL 60804 2008-04-15
1437332467 J S Vitamins and More Inc Durable Medical Equipment & Medical Supplies 4785 W Cermatz, Circero, IL 60804 2007-12-13
1427171339 Barbara J Majchrowski Optometrist 5729 W 35th Street, Suite 1east, Cicero, IL 60804 2007-04-06
1124190269 Gulliume Moor Psychologist 6117 West Cermak Road, Cicero, IL 60804 2006-11-14
1942372008 Elaine Moor Psychologist 6117 West Cermal Road, Cicero, IL 60804 2006-11-14
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Taxonomy Information

Taxonomy Code 3245S0500X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility
Specialization Substance Abuse Treatment, Children

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740841840 Avance Inc. Substance Abuse Rehabilitation Facility 4765 N Lincoln Ave, Chicago, IL 60625-2077 2019-06-28
1891001723 Ford County Court Services Substance Abuse Rehabilitation Facility 200 W State St, Paxton, IL 60957-1179 2010-08-30
1558599803 Rosecrance, Inc. Substance Abuse Rehabilitation Facility 215 N. Court Street, Methodist Church, Rockford, IL 61103-6802 2009-06-25
1508009234 Woodford County Substance Abuse Rehabilitation Facility 105 E Court St, Eureka, IL 61530 2009-04-10
1326216151 Lutheran Social Services of Illinois Substance Abuse Rehabilitation Facility 1261 Il Rte 38, Nachusa, IL 61057 2008-02-14
1275744385 Lutheran Social Services of Illinois Substance Abuse Rehabilitation Facility 1261 Illinois Route# 38, Phoenix Unit, Nachusa, IL 61057-0100 2007-05-24
1386779445 Gateway Foundation, Inc Substance Abuse Rehabilitation Facility 55 E Jackson Blvd, Suite 1500, Chicago, IL 60604-4466 2007-02-22
1841249372 Nexus Family Healing Substance Abuse Rehabilitation Facility 118 East Lincoln Street, Onarga, IL 60955 2006-05-10
1366431686 Chestnut Health Systems Inc Substance Abuse Rehabilitation Facility 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 2005-10-19
1790271849 Nexus Family Healing Substance Abuse Rehabilitation Facility 101 N Bramble St, Manteno, IL 60950-9303 2018-07-02
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Competitor

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City CICERO
Zip Code 60804

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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