Provider Demographics
NPI:1043459324
Name:CRAIG C. MCCALL, PSY.D., P.C.
Entity Type:Organization
Organization Name:CRAIG C. MCCALL, PSY.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:CARLTON
Authorized Official - Last Name:MCCALL
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:312-263-1018
Mailing Address - Street 1:930 NORTHWOODS DR
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-2222
Mailing Address - Country:US
Mailing Address - Phone:312-263-1018
Mailing Address - Fax:
Practice Address - Street 1:30 S WACKER DR
Practice Address - Street 2:SUITE 2200
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60606-7413
Practice Address - Country:US
Practice Address - Phone:312-263-1018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-11
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071005951103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty