Provider Demographics
NPI:1255447231
Name:CALLAHAN & ASSOCIATES, LTD.
Entity type:Organization
Organization Name:CALLAHAN & ASSOCIATES, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BOYD
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:CALLAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:847-698-2862
Mailing Address - Street 1:701 E IRVING PARK RD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:ROSELLE
Mailing Address - State:IL
Mailing Address - Zip Code:60172-2322
Mailing Address - Country:US
Mailing Address - Phone:630-529-1644
Mailing Address - Fax:630-529-1792
Practice Address - Street 1:701 E IRVING PARK RD
Practice Address - Street 2:SUITE 305
Practice Address - City:ROSELLE
Practice Address - State:IL
Practice Address - Zip Code:60172-2322
Practice Address - Country:US
Practice Address - Phone:630-529-1644
Practice Address - Fax:630-529-1792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2009-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490019801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL02215410OtherBLUE CROSS PROVIDER NUMBE