Provider Demographics
NPI:1225349038
Name:KALMES, NANCY E (PTA)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:E
Last Name:KALMES
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1875 DEMPSTER ST STE G10
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-1100
Mailing Address - Country:US
Mailing Address - Phone:847-723-7500
Mailing Address - Fax:847-723-8169
Practice Address - Street 1:1875 DEMPSTER ST STE G10
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-1100
Practice Address - Country:US
Practice Address - Phone:847-723-7500
Practice Address - Fax:847-723-8169
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-25
Last Update Date:2010-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL160.001042225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant