Provider Demographics
NPI:1336121920
Name:MCCALL, ALAN R (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:R
Last Name:MCCALL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7447 W TALCOTT AVE
Mailing Address - Street 2:STE 500, NORTHWEST ORTHOPAEDIC ASSOCIATES LTD
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60631-3745
Mailing Address - Country:US
Mailing Address - Phone:773-631-7898
Mailing Address - Fax:773-631-3005
Practice Address - Street 1:7447 W TALCOTT AVE
Practice Address - Street 2:STE 500, NORTHWEST ORTHOPAEDIC ASSOCIATES LTD
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-3745
Practice Address - Country:US
Practice Address - Phone:773-631-7898
Practice Address - Fax:773-631-3005
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-18
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0021604007OtherBSIL
IL0242720001OtherDME
D12588Medicare UPIN
IL0242720001OtherDME