Mr. Jason Peter Schallack
Mental Health Counselor
1414 Main St
Melrose Park
, Illinois 60160-3902
Mr. Jason Peter Schallack
Mental Health Counselor
1414 Main St
Melrose Park
, Illinois 60160-3902
(708) 681-3958
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Mr. Jason Peter Schallack
- 539 Belleforte Ave
- Oak Park, IL
- Zip : 60302-1623
- Fax : (708) 681-3958
- Phone : (708) 681-0073
Second Address
- Mr. Jason Peter Schallack
- 1414 Main St
- Melrose Park, IL
- Zip : 60160-3902
- Fax : (708) 681-3958
- Phone : (708) 681-0073
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor |
National Provider Identifier
| NPI | 1003104324 |
|---|---|
| Provider Name | Mr. Jason Peter Schallack |
| First Address | Oak Park, IL 60302-1623 |
| Second Address | Melrose Park, IL 60160-3902 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2011 |
| Last Update Date | 20/07/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.