Provider Demographics
NPI:1326850330
Name:DR GERALD MCCALLUM INC
Entity type:Organization
Organization Name:DR GERALD MCCALLUM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCALLUM
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:630-983-8400
Mailing Address - Street 1:1750 W. OGDEN AVE.
Mailing Address - Street 2:#4345
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60567
Mailing Address - Country:US
Mailing Address - Phone:630-983-8400
Mailing Address - Fax:
Practice Address - Street 1:1750 W. OGDEN AVE.
Practice Address - Street 2:#4345
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60567
Practice Address - Country:US
Practice Address - Phone:630-983-8400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-25
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty