Cristhian Ricardp Calle

Individual provider Active NPI Social Worker · Lindenhurst, IL

NPI 1275914608 · NPPES record last updated Jun 11, 2015

Key facts

NPI
1275914608
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
Practice address
2007 Burr Oak LN
Lindenhurst, IL 60046-9286
Phone
(847) 505-2866
NPI assigned
Jun 11, 2015
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Yes

Addresses

Primary practice location

2007 Burr Oak LN
Lindenhurst, IL 60046-9286

Mailing address

2007 Burr Oak LN
Lindenhurst, IL 60046
Phone (847) 505-2866

Other providers in Lindenhurst, IL

All providers in Lindenhurst, IL · Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.