MEDICARE: ELLESE CALDERWOOD LPC

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	101Y00000X	Counselor	178.021224	IL

General Provider Information

NPI Number	:	1518771682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELLESE CALDERWOOD LPC

Provider Business Mailing Address
First Line	:	1845 E RAND RD
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-4356
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1845 E RAND RD STE L109
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-4375
Country	:	US
Telephone Number	:	224-446-6101
Fax Number	:

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

Provider Enumeration Date	:	02/06/2025
Last Update Date	:	05/22/2026

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Directions to “ ELLESE CALDERWOOD LPC” Practice Location

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