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Individual
JOHN G KALL
Active
Individual
JOHN G KALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036077313
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
036077313
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720371669
NPI GROUP PRACTICE
IL
01
—
IL6304017
MEDICARE PTAN LOC 16
IL
01
—
IL6305017
MEDICARE PTAN LOC 15
IL
01
—
P01013361
RRMC PTAN
IL
Enumeration date
05/25/2006
Last updated
01/29/2013
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