Individual
TAYLOR KALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, LOYOLA OUTPATIENT CENTER, 4300, MAYWOOD, IL 60153
(708) 216-6006
Mailing address
2160 S 1ST AVE, MAGUIRE, ROOM 1940, MAYWOOD, IL 60153-3328
(708) 216-5536
(708) 216-5885
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125066558
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/17/2015
Last updated
05/23/2018
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