Healthcare Provider Details

I. General information

NPI: 1730516139
Provider Name (Legal Business Name): GLEKERIA CHEKALAS M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2013
Last Update Date: 09/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 W HIGGINS RD SUITE 105
HOFFMAN ESTATES IL
60169-7220
US

IV. Provider business mailing address

7915 MAPLE ST
MORTON GROVE IL
60053-1652
US

V. Phone/Fax

Practice location:
  • Phone: 888-870-1775
  • Fax:
Mailing address:
  • Phone: 503-703-8887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: