JACQUELINE CALLES – NPI #1265966832
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

JACQUELINE CALLES is a substance abuse rehabilitation facility located in CICERO, IL. NPPES has assigned the NPI number 1265966832 to JACQUELINE CALLES on April 20, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 3245S0500X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACQUELINE CALLES below.

NPI Profile for
JACQUELINE CALLES

NPI Number
1265966832
Enumeration Date

(more than 9 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JACQUELINE CALLES
Primary location
4904 W. 32ND ST
CICERO, IL 60804
Phone: (312) 342-2642 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3245S0500X
- Substance Abuse Rehabilitation Facility / Substance Abuse Treatment, Children (Primary)
IL C42042292898

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.