Healthcare Provider Details

I. General information

NPI: 1417585704
Provider Name (Legal Business Name): ELIZABETH ANNE CALLAHAN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2020
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 SPALDING DR STE 308
NAPERVILLE IL
60540-6521
US

IV. Provider business mailing address

2650 RIDGE AVE STE 1223
EVANSTON IL
60201-1700
US

V. Phone/Fax

Practice location:
  • Phone: 630-527-7730
  • Fax: 331-221-2776
Mailing address:
  • Phone: 847-250-2040
  • Fax: 837-570-5315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number036170756
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number036170756
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: