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Organization
RHONDA KELLOWAY, LCSW, THERAPY & MEDITATION PC
Active
Organization
RHONDA KELLOWAY, LCSW, THERAPY & MEDITATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RHONDA K KELLOWAY LCSW (SOLE OFFICER & DIRECTOR)
(630) 569-0822
Entity
Organization
Contact information
Practice address
45 S PARK BLVD, SUITE 200, GLEN ELLYN, IL 60137-6280
(630) 569-0822
Mailing address
1032 SWIFT RD UNIT 2F, GLEN ELLYN, IL 60137-2403
(630) 569-0822
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149011371
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002232980
BLUECROSS BLUESHIELD
IL
Enumeration date
02/01/2007
Last updated
02/02/2015
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