Organization
DR CHERYL SCALLON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYL SCALLON PSY.D. (OWNER)
(708) 460-0235
Entity
Organization
Contact information
Practice address
9631 W 153RD ST, STE 38, ORLAND PARK, IL 60462-3774
(708) 460-0235
(708) 460-7563
Mailing address
9631 W 153RD ST, STE 38, ORLAND PARK, IL 60462-3774
(708) 460-0235
(708) 460-7563
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016-26201
BLUE CROSS BLUE SHIELD
IL
Enumeration date
02/22/2007
Last updated
08/22/2020
Update your record
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