Jacqueline Calles

NPI #1265966832 in Cicero, Illinois

Provider Information

NPI Number: 1265966832
Entity Type: Individual
Name: Jacqueline Calles
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date: Apr 20, 2017
Last Updated: Apr 20, 2017

Practice Location

Address: 4904 W. 32ND ST
City: Cicero
State: Illinois
ZIP Code: 60804
Phone: (312) 342-2642

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X	Primary

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