Peter Kallas, MD | |
201 E Huron St, Chicago, IL 60611-3197 | |
(312) 238-7186 | |
Not Available |
Full Name | Peter Kallas |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 31 Years |
Location | 201 E Huron St, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760425797 | NPI | - | NPPES |
036-091104 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036-091104 (Illinois) | Secondary |
208M00000X | Hospitalist | 036-091104 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northwestern Memorial Hospital | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwestern Medical Faculty Foundation | 4587576814 | 3352 |
Entity Name | Northwestern Medical Faculty Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Mailing Address | Practice Location Address |
---|---|
Peter Kallas, MD 840 Merrill Woods Rd, Hinsdale, IL 60521-2839 Ph: (630) 207-3213 | Peter Kallas, MD 201 E Huron St, Chicago, IL 60611-3197 Ph: (312) 238-7186 |
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