Kallis, Taylor
Kallis, Taylor is an sole proprietor health care provider with primary practice located at 2160 S 1St Ave Loyola Outpatient Center, 4300, Maywood IL 60153. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Kallis, Taylor can be contacted via phone (708) 216-6006.Contact Information
Primary practice address
2160 S 1St Ave Loyola Outpatient Center, 4300
Maywood IL 60153
Phone: (708) 216-6006
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 125066558 | Illinois |
Profile Details
| NPI number | 1073994877 |
|---|---|
| LBN Legal business name | Kallis, Taylor |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 17th, 2015 |
| Last updated | May 23rd, 2018 - about 8 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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