Calderon, Kellie

Calderon, Kellie is an individual health care provider with primary practice located at 14007 S Bell Rd Ste 183 , Homer Glen IL 60491. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Calderon, Kellie can be contacted via phone (708) 553-0602.

Contact Information

Primary practice address
14007 S Bell Rd Ste 183 Homer Glen IL 60491
Phone: (708) 553-0602
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 178.012283 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 178012283 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180.012970 Illinois

Profile Details

NPI number 1417490681
LBN Legal business name Calderon, Kellie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2016
Last updated Jun 23rd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417490681 NPPES
Illinois Other 1417490681 NPI 1 NUMBER

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