JENNIFER CALLISS L.C.P.C. NPI 1164439584

NPI Information

NPI: 1164439584
Provider Name: JENNIFER CALLISS, L.C.P.C.
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
21 N SKOKIE HWY
SUITE 203
LAKE BLUFF, IL
ZIP 60044
Phone: (847) 800-1167
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Jennifer Calliss, L.C.P.C. is a professional counselor in Lake Bluff, IL. Jennifer Calliss, L.C.P.C. NPI is 1164439584. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

21 N SKOKIE HWY
SUITE 203
LAKE BLUFF, IL
ZIP 60044-777
Phone: (847) 800-1167
Fax: (847) 295-6176

The enumeration date for this NPI number is 8/1/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional		ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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