Jason Peter Schallack MFA

NPI 1003104324 - Counselor - 101YM0800X

NPI Details
NPI 1003104324
Gender Male
Enumeration Date 07/20/2011
Last Updated 07/20/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
1414 MAIN ST
MELROSE PARK IL, 60160-3902, US
Phone (708) 681-0073
Fax (708) 681-3958
Business Location
OAK PARK IL, 60302-1623, US
Phone (708) 681-0073
Fax (708) 681-3958
Taxonomy Code 101YM0800X
License State
License Number
Remove 1003104324 NPI Number

According to our database, Mr. Jason Peter Schallack MFA NPI is 1003104324, taxonomy code is 101YM0800X Jason Peter Schallack MFA physically located at 1414 Main St, Melrose Park IL, 60160-3902. NPI Number Jason Peter Schallack MFA has the Individual type.

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1003104324 NPI number is provided on an as is basis without warranty of any kind. 1003104324 is maintained by the National Plan & Provider Enumeration System. The contents of Jason Peter Schallack MFA are for informational purposes only.