Provider Demographics
NPI:1578656963
Name:KALIKA, EDUARD (DN)
Entity Type:Individual
Prefix:DR
First Name:EDUARD
Middle Name:
Last Name:KALIKA
Suffix:
Gender:M
Credentials:DN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 MILWAUKEE AVE.
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089
Mailing Address - Country:US
Mailing Address - Phone:847-850-5377
Mailing Address - Fax:847-850-5378
Practice Address - Street 1:200 MILWAUKEE AVE.
Practice Address - Street 2:EDUARD KALIKA DN LTD SUITE 100
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089
Practice Address - Country:US
Practice Address - Phone:847-850-5377
Practice Address - Fax:847-850-5378
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-30
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL181000307174400000X
IL181-000307172P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172P00000XOther Service ProvidersNaprapath
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL181000307OtherLICENSE