Individual
MILES CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3707 N KEDZIE AVE, CHICAGO, IL 60618-4503
(773) 377-5492
Mailing address
4935 W CARMEN AVE, CHICAGO, IL 60630-2423
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.015652
IL
Other
Enumeration date
06/08/2018
Last updated
09/12/2023
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