JASON PETER SCHALLACK

MELROSE PARK, IL
NPI1003104324
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-07-20
Last Update Date2011-07-20
Business Address
Mr. JASON PETER SCHALLACK MFA
1414 MAIN ST
MELROSE PARK, IL 60160-3902
Phone number: 708-681-0073
Mailing Address
Mr. JASON PETER SCHALLACK MFA
539 BELLEFORTE AVE
OAK PARK, IL 60302-1623
Phone number: 708-681-0073