Provider Demographics
NPI:1275607830
Name:KALWANI, ANITA (DPT)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:
Last Name:KALWANI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2360 HASSELL RD STE C
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-2171
Mailing Address - Country:US
Mailing Address - Phone:847-517-1900
Mailing Address - Fax:847-517-1904
Practice Address - Street 1:2360 HASSELL RD STE C
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-2171
Practice Address - Country:US
Practice Address - Phone:847-517-1900
Practice Address - Fax:847-517-1904
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070013284225100000X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILIL3816001Medicare PIN
ILK22619Medicare PIN
ILIL1673001Medicare PIN