Provider Demographics
NPI:1346660214
Name:EVA MCCALLISTER-JAMES
Entity Type:Organization
Organization Name:EVA MCCALLISTER-JAMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:EVA
Authorized Official - Middle Name:MCCALLISTER
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:224-522-8076
Mailing Address - Street 1:379 BRITTANY CT
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-3679
Mailing Address - Country:US
Mailing Address - Phone:224-522-8076
Mailing Address - Fax:
Practice Address - Street 1:379 BRITTANY CT
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-3679
Practice Address - Country:US
Practice Address - Phone:224-522-8076
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-18
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty