IndividualActive
Jacqueline Calles
NPI 1265966832 · Children's Substance Abuse Rehabilitation Facility · Cicero, IL
Provider details
- NPI number
- 1265966832
- Entity type
- Individual
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- C42042292898 (IL)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
4904 W. 32nd St
Cicero, IL 60804
Phone: (312) 342-2642
Approximate (ZIP-level) locationGet directions
Mailing address
4904 W. 32nd St
Cicero, IL 60804
Registry dates
- Enumerated
- 2017-04-20
- Last updated
- 2017-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.