Individual
DR. MICHAEL KALAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1934 WALNUT ST, MURPHYSBORO, IL 62966-1910
(618) 565-1406
(618) 565-1407
Mailing address
1200 W DEYOUNG ST, MARION, IL 62959-4437
(618) 993-5686
(618) 997-6250
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-008247
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046008247
—
IL
01
—
0814870007
MEDICARE NSC NUMBER
IL
01
—
0814870021
MEDICARE NSC NUMBER
IL
01
—
081898
HEALTH ALLIANCE
—
01
—
234784
HARMONY HEALTH PLAN
—
01
—
410049822, CA2196
MEDICARE RAILROAD
IL
01
—
IL8247
EYEMED
—
Enumeration date
05/12/2006
Last updated
10/01/2008
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