Michele Mccallum

NPI #1578913653 in Olympia Fields, Illinois

Provider Information

NPI Number: 1578913653
Entity Type: Individual
Name: Michele Mccallum
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Enumeration Date: Jun 20, 2016
Last Updated: Jun 20, 2016

Practice Location

Address: 112 GRAYMOOR LN
City: Olympia Fields
State: Illinois
ZIP Code: 60461-1220
Phone: (708) 297-7066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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