Provider Demographics
NPI:1447370424
Name:KALOWSKI, CHRISTINE A (LCSW)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:A
Last Name:KALOWSKI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1047
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-8047
Mailing Address - Country:US
Mailing Address - Phone:708-349-6422
Mailing Address - Fax:866-441-1136
Practice Address - Street 1:15040 S RAVINIA AVE
Practice Address - Street 2:SUITE 49
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-3194
Practice Address - Country:US
Practice Address - Phone:708-349-6422
Practice Address - Fax:866-441-1136
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical