Provider Demographics
NPI:1831311612
Name:JOSEPH W. KALAL, D.C., LTD.
Entity Type:Organization
Organization Name:JOSEPH W. KALAL, D.C., LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:W
Authorized Official - Last Name:KALAL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:773-774-9200
Mailing Address - Street 1:6448 N CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-2935
Mailing Address - Country:US
Mailing Address - Phone:773-774-9200
Mailing Address - Fax:773-774-6589
Practice Address - Street 1:6448 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-2935
Practice Address - Country:US
Practice Address - Phone:773-774-9200
Practice Address - Fax:773-774-6589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-004161111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILT37563Medicare UPIN
IL659320Medicare ID - Type Unspecified