| Calhoun Consultants Llc | |
|
900 Hitt St Ottawa IL 61350-5109 | |
| (815) 501-2888 | |
| (815) 431-9889 |
| Full Name | Calhoun Consultants Llc |
|---|---|
| Speciality | Psychologist |
| Location | 900 Hitt St, Ottawa, Illinois |
| Authorized Official Name and Position | Kimberly Calhoun (OWNER) |
| Authorized Official Contact | 8155012888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calhoun Consultants Llc 900 Hitt St Ottawa IL 61350-5109 Ph: (815) 501-2888 | Calhoun Consultants Llc 900 Hitt St Ottawa IL 61350-5109 Ph: (815) 501-2888 |
| NPI Number | 1407161896 |
|---|---|
| Provider Enumeration Date | 08/10/2010 |
| Last Update Date | 11/23/2016 |
| Medicare PECOS PAC ID | 5597936401 |
|---|---|
| Medicare Enrollment ID | O20110927000077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407161896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 180.004054 (Illinois) | Primary |
| Provider Name | Amy L Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952616344 PECOS PAC ID: 1254507635 Enrollment ID: I20120106000204 |
| Provider Name | Elizabeth J Trost |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174955652 PECOS PAC ID: 3971734765 Enrollment ID: I20140319001844 |
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