Calloway, Lisa Michelle

Calloway, Lisa Michelle is an sole proprietor health care provider with primary practice located at 101 Royce Rd Suite 12, Bolingbrook IL 60440-1458. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Calloway, Lisa Michelle can be contacted via phone (630) 272-6240.

Contact Information

Primary practice address
101 Royce Rd Suite 12 Bolingbrook IL 60440-1458
Phone: (630) 272-6240
Fax: (630) 364-2555
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1346323730
LBN Legal business name Calloway, Lisa Michelle
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
Last updated Jul 9th, 2007 - about 17 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 1346323730 NPPES
Illinois Other 311641 GROUP # FOR MHN
Illinois Other 409970/57007900 GROUP # FOR MHN
Illinois Other 449000 GROUP # FOR MHN
Illinois Other 293092 GROUP # FOR MHN
Illinois Other 0001633386 GROUP # FOR MHN

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