Provider Demographics
NPI:1568948297
Name:CALABRESE, RICCARDO PAUL
Entity Type:Individual
Prefix:
First Name:RICCARDO
Middle Name:PAUL
Last Name:CALABRESE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 RIDGE AVE APT 8-2
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-3359
Mailing Address - Country:US
Mailing Address - Phone:630-854-8285
Mailing Address - Fax:
Practice Address - Street 1:8 S MICHIGAN AVE STE 2800
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60603-3326
Practice Address - Country:US
Practice Address - Phone:312-481-7722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-16
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor