Healthcare Provider Details

I. General information

NPI: 1629439815
Provider Name (Legal Business Name): JULIE CALEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2016
Last Update Date: 05/13/2022
Certification Date: 05/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 SPALDING DR STE 202
NAPERVILLE IL
60540-6552
US

IV. Provider business mailing address

1860 PAYSPHERE CIR
CHICAGO IL
60674-3150
US

V. Phone/Fax

Practice location:
  • Phone: 630-873-8889
  • Fax: 630-456-7138
Mailing address:
  • Phone: 630-469-9200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209-013984
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209013984
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: