Healthcare Provider Details

I. General information

NPI: 1366309676
Provider Name (Legal Business Name): CALLY MCPHERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

814 N FRANKLIN ST
CHICAGO IL
60610-3813
US

IV. Provider business mailing address

14 W ELM ST APT 203
CHICAGO IL
60610-2736
US

V. Phone/Fax

Practice location:
  • Phone: 224-570-2681
  • Fax:
Mailing address:
  • Phone: 815-901-5132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: