NPI 1003104324

Jason Peter Schallack, MFA

Practitioner Mental Health Counselor Melrose Park, IL

Practice location

Address: 1414 Main St, Melrose Park, IL 60160-3902
Phone: (708) 681-0073
Fax: (708) 681-3958
Mailing address: 539 Belleforte Ave, Oak Park, IL 60302-1623

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Other Counselor providers in Illinois →

Registry record

NPI: 1003104324
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jul 2011
Record last updated: 20 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.