| Rhonda Kelloway, Lcsw, Therapy & Meditation Pc | |
|
45 S Park Blvd Suite 200 Glen Ellyn IL 60137-6280 | |
| (630) 569-0822 | |
| Not Available |
| Full Name | Rhonda Kelloway, Lcsw, Therapy & Meditation Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 45 S Park Blvd, Glen Ellyn, Illinois |
| Authorized Official Name and Position | Rhonda K Kelloway (SOLE OFFICER & DIRECTOR) |
| Authorized Official Contact | 6305690822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rhonda Kelloway, Lcsw, Therapy & Meditation Pc 1032 Swift Rd Unit 2f Glen Ellyn IL 60137-2403 Ph: (630) 569-0822 | Rhonda Kelloway, Lcsw, Therapy & Meditation Pc 45 S Park Blvd Suite 200 Glen Ellyn IL 60137-6280 Ph: (630) 569-0822 |
| NPI Number | 1003954306 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 02/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003954306 | NPI | - | NPPES |
| 0002232980 | Other | IL | BLUECROSS BLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149011371 (Illinois) | Primary |
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