Individual
CHRIS JOHN KALUCIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
15299 BAGLEY RD, CLEVELAND, OH 44130-4823
(440) 234-5150
(440) 234-9138
Mailing address
25761 LORAIN RD, 3RD FL, N OLMSTED, OH 44070
(440) 779-1112
(440) 779-0247
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
34005019
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0125411
—
OH
01
—
040013530
MEDICARE RAILROAD
OH
Enumeration date
09/22/2006
Last updated
10/10/2014
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