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Individual

MR. BOYD STEVEN CALLAHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S.W.

Contact information

Practice address
701 E IRVING PARK RD, STE 305, ROSELLE, IL 60172-2322
(630) 529-1644
(630) 529-1792
Mailing address
479 N NORTHWEST HWY, PARK RIDGE, IL 60068-3254
(847) 698-2862
(847) 698-0928

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02215410
BLUE CROSS PROVIDER NUMBE
IL
Enumeration date
08/22/2006
Last updated
07/08/2007
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