KELLIE CALDERON (NPI# 1417490681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417490681 |
| Entity Type | Individual |
| Full Name | KELLIE CALDERON |
| Other Name | KELLIE OLSON |
| Practice Address |
14007 S Bell Rd Ste 183 Homer Glen IL 60491 |
| Mailing Address |
14007 S Bell Rd Ste 183 Homer Glen IL 60491-8463 |
| Practice Telephone | 7085530602 |
| Mailing Telephone | 7085530602 |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2020-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
180.012970 | IL | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
178.012283 | IL | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
178012283 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | NPI 1 NUMBER | 1417490681 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 945 W George St Ste 206, Chicago, IL 60657 | 7089450085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760644066 | Kellie Rae Calderon | Internal Medicine | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-06-27 |
| Street Address |
14007 S BELL RD STE 183 |
| City | HOMER GLEN |
| State | IL |
| Zip Code | 60491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341586 | Ace Counseling Group LLC | Counselor | 14007 S Bell Rd Ste 183, Homer Glen, IL 60491-8463 | 2020-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811249915 | Jasmina Peric | Registered Nurse | 14607 Stonegate Drive, Homer Glen, IL 60491 | 2012-10-12 |
| 1700137783 | Nicole Marie Karn | Physical Therapy Assistant | 14319 Twin Creek Lane, Homer Geln, IL 60491 | 2012-10-01 |
| 1992062061 | South Suburban Hearing, Inc | Hearing Instrument Specialist | 14316 S. Will-cook Rd, Homer Glen, IL 60491 | 2012-04-13 |
| 1336417385 | Crystal Knaack | Pharmacist | 13911 W 167th St, Homer Glen, IL 60491 | 2011-12-06 |
| 1891976429 | Toothworks Inc | Dentist | 12626 W 159th St, Homer Glen, IL 60491 | 2007-11-26 |
| 1972639441 | Barbara A Bayer | Social Worker | 13528 Marissa Ct, Homer Glen, IL 60491 | 2007-02-26 |
| 1093893117 | Daniel L Clark Do Ltd | Family Medicine | 14831 W 159th St, Harris Bank Building, Lockport, IL 60491 | 2006-11-02 |
| 1720006752 | Judith Polkow | Physical Therapist | 14821 S. Founders Crossing, Homer Glen, IL 60491 | 2006-07-17 |
| 1518902188 | Allen Ophthalmic Group | Ophthalmology | 15933 South Bell Road, Homer Glen, IL 60491 | 2006-06-18 |
| 1083606628 | Lynn M Koehler | Internal Medicine | 15929 S Bell Rd, Homer Glen, IL 60491 | 2005-08-19 |
| Find all providers in zip 60491 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932692944 | Mary Kathryn Bombard | Counselor | 13161 W 143rd St Ste 102, Homer Glen, IL 60491-6670 | 2018-06-13 |
| 1760641641 | Tracey Kim Snow | Counselor | 14933 S Founders Xing, Optional, Homer Glen, IL 60491-6049 | 2008-06-05 |
| 1861668006 | Kathleen S. Renfree | Counselor | 15915 Crystal Creek Dr Unit E, Homer Glen, IL 60491-9381 | 2008-05-07 |
| 1972773737 | Mandy Ann Semenik | Counselor | 13020 W Split Rail Ct, Homer Glen, IL 60491-8164 | 2008-03-08 |
| 1194341586 | Ace Counseling Group LLC | Counselor | 14007 S Bell Rd Ste 183, Homer Glen, IL 60491-8463 | 2020-06-22 |
| 1164980249 | Beyond Healing - A Counseling, Wellness & Personal Growth Center | Counselor | 13728 W Carefree Dr, Homer Glen, IL 60491-8655 | 2019-03-07 |
| 1285036343 | Beyond Healing | Counselor | 13728 W Carefree Dr, Homer Glen, IL 60491-8655 | 2014-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780602 | Saba Aqel | Counselor | 107 W Van Buren St Ste 215, Chicago, IL 60605-1054 | 2020-11-05 |
| 1124629696 | Audra Murphy | Counselor | 1020 E Ogden Ave Ste 204, Naperville, IL 60563-8610 | 2020-11-02 |
| 1811597412 | Mindy Marie Eastling | Counselor | 27240 Dutton Rd, Beecher, IL 60401-5054 | 2020-11-01 |
| 1306446307 | Oak Point Counseling, Pllc | Counselor | 1207 Mchenry Rd Ste 217b, Buffalo Grove, IL 60089-1371 | 2020-10-28 |
| 1508466061 | Kathrin Simac | Counselor | 900 Royal Heights Rd # 2150, Belleville, IL 62226-5457 | 2020-10-26 |
| 1669071288 | Kristin Smith Warden | Counselor | 566 Cedar St, Winnetka, IL 60093-2338 | 2020-10-24 |
| 1538768155 | Angelicare LLC | Counselor | 6650 N Northwest Hwy Ste 215, Chicago, IL 60631-1363 | 2020-10-23 |
| 1568061612 | Donnie L Winget | Counselor | 536 N Division St, Carterville, IL 62918-1006 | 2020-10-20 |
| 1013516145 | Modern Soul Therapy LLC | Counselor | 2000 N Racine Ave Ste 2160, Chicago, IL 60614-4045 | 2020-10-20 |
| 1861090433 | Ruth Elaine Rayfield | Counselor | 418 North Center Street, Apt# 206, South Elgin, IL 60177 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
| City | HOMER GLEN |
| Zip Code | 60491 |
Please comment or provide details below to improve the information on KELLIE CALDERON.
| 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.