Provider Demographics
NPI:1376520783
Name:KALMAR, FRANK ROBERT (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:ROBERT
Last Name:KALMAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 E BELVIDERE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GRAYSLAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60030-2082
Mailing Address - Country:US
Mailing Address - Phone:847-918-1462
Mailing Address - Fax:847-968-4311
Practice Address - Street 1:1275 E BELVIDERE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030-2082
Practice Address - Country:US
Practice Address - Phone:847-918-1462
Practice Address - Fax:847-968-4311
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.0910892085R0202X
IL0360968672085R0202X
IN01059136A2085R0202X
WI40902-0202085R0202X
VA01012410392085R0202X
WV226682085R0202X
KY407322085R0202X
MI43010890292085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL212545OtherGROUP PTAN
WI32564800Medicaid
IL202926OtherGROUP PTAN
ILL83381Medicare PIN
ILP00328232Medicare PIN
ILK28481Medicare PIN
IL300137125Medicare PIN
IL212545OtherGROUP PTAN
ILL83380Medicare PIN
ILL93766Medicare PIN
WI32564800Medicaid
IL212545020Medicare PIN
ILK22465Medicare PIN
ILP00355082Medicare PIN
IL202926OtherGROUP PTAN
ILK45888Medicare PIN
ILL94996Medicare PIN