Individual
DAVID DONALD CALDARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 W HARRISON ST, SUITE 550, CHICAGO, IL 60612-4861
(312) 942-6100
(312) 942-6225
Mailing address
1611 W HARRISON ST, SUITE 550, CHICAGO, IL 60612-4861
(312) 942-6100
(312) 942-6225
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036040882
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036040882
—
IL
01
—
21623098
BC
—
Enumeration date
03/13/2007
Last updated
04/15/2011
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