Individual
ELEAZAR E CALERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4324 W 63RD ST, CHICAGO, IL 60629-5012
(773) 767-3171
(773) 767-9227
Mailing address
100 W CHICAGO AVE, STE F, EAST CHICAGO, IN 46312-3261
(219) 703-2583
(219) 703-6749
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036078184
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110201552
PALMETTO
IL
01
—
1720250129
PALMETTO GROUP NPI
IL
Enumeration date
02/12/2007
Last updated
06/13/2019
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