Individual
CALLIE DAHLEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4885 HOFFMAN BLVD, STE 407, HOFFMAN ESTATES, IL 60192-3726
(630) 455-1756
(630) 455-1759
Mailing address
4885 HOFFMAN BLVD, STE 407, HOFFMAN ESTATES, IL 60192-3726
(224) 484-0183
(224) 699-9301
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
085004895
IL
363AM0700X
Medical Physician Assistant
Primary
085004895
IL
Other
Enumeration date
10/24/2013
Last updated
09/04/2019
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