Kallal, Melanie M

Kallal, Melanie M is an sole proprietor health care provider with primary practice located at 1818 Dempster St Heartwood Center, Evanston IL 60202-1003. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Kallal, Melanie M can be contacted via phone (224) 330-9975.

Contact Information

Primary practice address
1818 Dempster St Heartwood Center Evanston IL 60202-1003
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.009388 Illinois

Profile Details

NPI number 1487990164
LBN Legal business name Kallal, Melanie M
Credentials LCPC, CADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2012
Last updated Jan 12th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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