# CALUMET PHYSICIANS ASS LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538269964
- **Authorized official:** DR. JAI DEV ARYA M.D. (PRESIDENT)
- **Authorized official phone:** (773) 995-3405

## Contact information

- **Practice address:** 67 W 111TH ST STE 301, CHICAGO, IL 60628-4247
- **Practice address phone:** (773) 995-3405
- **Practice address fax:** (773) 995-3408
- **Mailing address:** 67 W 111TH ST STE 301, CHICAGO, IL 60628-4247
- **Mailing address phone:** (773) 995-3405
- **Mailing address fax:** (773) 995-3408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | IL | — |
| 207Q00000X | Family Medicine Physician | — | IL | Yes |
| 207R00000X | Internal Medicine Physician | — | IL | — |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 09/13/2007