Provider Demographics
NPI:1578649687
Name:KALISTHENICS, INC.
Entity Type:Organization
Organization Name:KALISTHENICS, INC.
Other - Org Name:ABSOLUTE WOUNDS SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:Y
Authorized Official - Last Name:NAVAZIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-760-3181
Mailing Address - Street 1:7444 W. WILSON AVE.
Mailing Address - Street 2:SUITE 110
Mailing Address - City:HARWOOD HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60706-4500
Mailing Address - Country:US
Mailing Address - Phone:847-350-1770
Mailing Address - Fax:847-350-1770
Practice Address - Street 1:7444 W. WILSON AVE.
Practice Address - Street 2:SUITE 110
Practice Address - City:HARWOOD HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60706-4500
Practice Address - Country:US
Practice Address - Phone:847-350-1770
Practice Address - Fax:847-350-1770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA73272332B00000X
CTCSW.0002789332B00000X
LADME.000237332B00000X
NC02151332B00000X
IN69001172A332B00000X
KS16-44473332B00000X
KYHME000764332B00000X
OHHMEL.11616332B00000X
SC15061332B00000X
PA6000008483332B00000X
FL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1313843OtherHOME MEDICAL EQUIPMENT PROVIDER
FL1313843OtherHOME MEDICAL EQUIPMENT PROVIDER