Individual
CALLIE LYNN JANET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
900 RAND RD STE 120, DES PLAINES, IL 60016-2359
(312) 767-3244
Mailing address
1400 S MICHIGAN AVE APT 1203, CHICAGO, IL 60605-3720
(312) 767-3244
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085008010
IL
363A00000X
Physician Assistant
2020005533
MO
Other
Enumeration date
12/04/2019
Last updated
11/27/2023
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