DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: STEPHANIE KALOUSTIAN

MEDICARE: STEPHANIE KALOUSTIAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker149.024130IL

General Provider Information

NPI Number : 1710622691
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE KALOUSTIAN
Provider Business Mailing Address
First Line : 1700 W IRVING PARK RD STE 104
Second Line :
City : CHICAGO
State : IL
Zip : 60613-2596
Country : US
Telephone Number : 773-234-1841
Fax Number :
Provider Business Practice Location Address
First Line : 1700 W IRVING PARK RD STE 104
Second Line :
City : CHICAGO
State : IL
Zip : 60613-2596
Country : US
Telephone Number : 773-234-1841
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2022
Last Update Date : 05/04/2022

Similar Medicare Providers

1326492406 — PASCALE PIRON PSYD, MA
Practice Location Address:
1700 W IRVING PARK RD STE 104
CHICAGO, IL
60613-2596
Practice Phone: 872-228-6416
Practice Fax:
1063005080 — EMERGE PSYCHOLOGY GROUP LLC
Practice Location Address:
1700 W IRVING PARK RD STE 104
CHICAGO, IL
60613-2596
Practice Phone: 872-228-6416
Practice Fax:
1629744990 — MR. BRIAN BELEN MA, LPC
Practice Location Address:
1700 W IRVING PARK RD STE 104
CHICAGO, IL
60613-2596
Practice Phone: 312-967-9291
Practice Fax:
1932866878 — MARIA FERNANDA OCHOA GONZALEZ LCPC
Practice Location Address:
1700 W IRVING PARK RD STE 104
CHICAGO, IL
60613-2596
Practice Phone: 312-967-9291
Practice Fax:
1629739867 — JULIA LEVY MA, LPC
Practice Location Address:
1700 W IRVING PARK RD STE 104
CHICAGO, IL
60613-2596
Practice Phone: 872-228-6416
Practice Fax:
1225763279 — HANNA R ZIMMERMANN
Practice Location Address:
1700 W IRVING PARK RD STE 104
CHICAGO, IL
60613-2596
Practice Phone: 872-228-6416
Practice Fax:

Directions to “ STEPHANIE KALOUSTIAN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.