Taylor Kallis, MD

Psychiatry Physician · Maywood, IL

Individual Active NPI

NPI number 1073994877

Practice location

2160 S 1st Ave
Loyola Outpatient Center, 4300
Maywood, IL 60153
Phone
(708) 216-6006

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NPI record

NPI
1073994877
Entity type
Individual (Type 1)
Enumeration date
June 17, 2015
Last updated
May 23, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychiatry Physician Primary 2084P0800X 125066558 IL
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

2160 S 1st Ave
Maguire, Room 1940
Maywood, IL 60153-3328
Phone
(708) 216-5536
Fax
(708) 216-5885

About Dr. Kallis

Taylor Kallis, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Psychiatry Physician (code 2084P0800X). The practice location is 2160 S 1st Ave, Loyola Outpatient Center, 4300, Maywood, IL 60153. The NPI number 1073994877 was assigned on June 17, 2015 and the record was last updated on May 23, 2018.

Dr. Kallis lists a license in the registry: #125066558 (IL) for Psychiatry Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Taylor Kallis, MD?

The NPI number is 1073994877.

What is the phone number of Dr. Kallis?

The phone number listed for the practice location is (708) 216-6006.

Where is Dr. Kallis located?

2160 S 1st Ave, Loyola Outpatient Center, 4300, Maywood, IL 60153.

What is the taxonomy code for Dr. Kallis?

The primary taxonomy code is 2084P0800X – Psychiatry Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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