Provider Demographics
NPI:1578787537
Name:DAVID P. CALIMAG MD SC
Entity Type:Organization
Organization Name:DAVID P. CALIMAG MD SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:P
Authorized Official - Last Name:CALIMAG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-299-1960
Mailing Address - Street 1:PO BOX 1362
Mailing Address - Street 2:
Mailing Address - City:MORTON GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60053-7362
Mailing Address - Country:US
Mailing Address - Phone:847-299-1960
Mailing Address - Fax:
Practice Address - Street 1:1600 DEMPSTER ST
Practice Address - Street 2:SUITE LL3
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-1109
Practice Address - Country:US
Practice Address - Phone:847-299-1960
Practice Address - Fax:847-299-1962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1447231154OtherNPI
ILB51922Medicare UPIN
IL684500Medicare ID - Type Unspecified