MEDICARE: KELSEY STALLTER

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
1	1041C0700X	Clinical Social Worker	149.023011	IL

General Provider Information

NPI Number	:	1114500840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELSEY STALLTER

Provider Business Mailing Address
First Line	:	443 W WRIGHTWOOD AVE APT 607
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-2963
Country	:	US
Telephone Number	:	630-328-9674
Fax Number	:

Provider Business Practice Location Address
First Line	:	443 W WRIGHTWOOD AVE APT 607
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-2963
Country	:	US
Telephone Number	:	630-328-9674
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2021
Last Update Date	:	04/30/2021

Similar Medicare Providers

1477748374 — MS. WANTING WALKER LPC
Practice Location Address:

2963 N LAWNDALE AVE STE 2
CHICAGO, IL
60618-7320

Practice Phone: 312-285-0534
Practice Fax:

1205139730 — STREETERVILLE INTERNAL MEDICINE, PLLC
Practice Location Address:

676 N SAINT CLAIR ST STE 1740
CHICAGO, IL
60611-2963

Practice Phone: 312-926-0444
Practice Fax: 312-926-0444

1932815628 — ALEXANDRO REYES
Practice Location Address:

6203 N CLAREMONT AVE
CHICAGO, IL
60659-2963

Practice Phone: 312-459-2102
Practice Fax:

1184556425 — EMMA LYNN HORNBERGER
Practice Location Address:

2755 N PINE GROVE AVE
CHICAGO, IL
60614-6109

Practice Phone: 847-502-4455
Practice Fax:

1578495768 — MAEVE DEVINE PA-C
Practice Location Address:

2709 N MILDRED AVE APT 2B
CHICAGO, IL
60614-3394

Practice Phone: 414-949-6765
Practice Fax:

1932032695 — AILEE HOGAN DPT
Practice Location Address:

2555 N CLARK ST
CHICAGO, IL
60614-1768

Practice Phone: 773-755-7566
Practice Fax:

Directions to “ KELSEY STALLTER ” 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.