Individual
CALLI WILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6305 W 95TH ST FL 2, OAK LAWN, IL 60453-2255
(708) 424-1300
Mailing address
6305 W 95TH ST, OAK LAWN, IL 60453-2255
(708) 424-1300
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
021.003223
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2020
Last updated
03/17/2025
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