Provider Demographics
NPI:1801297692
Name:KALCSITS, JAMES
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:KALCSITS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1847 OAK ST
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60093-3013
Mailing Address - Country:US
Mailing Address - Phone:847-752-0006
Mailing Address - Fax:
Practice Address - Street 1:1847 OAK ST
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:IL
Practice Address - Zip Code:60093-3013
Practice Address - Country:US
Practice Address - Phone:847-752-0006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-11
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator