Individual
ERNIE MIGUEL CALDERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3665 N BROADWAY ST, CHICAGO, IL 60613-4567
(773) 496-4433
(773) 496-4430
Mailing address
3665 N BROADWAY ST, CHICAGO, IL 60613-4567
(773) 496-4433
(773) 496-4430
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149028906
IL
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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