Individual
DR. JOHN M KALEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10900 ROYAL GLEN DR, ORLAND PARK, IL 60467-4579
(708) 403-2064
Mailing address
10900 ROYAL GLEN DR, ORLAND PARK, IL 60467-4579
(708) 403-2064
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
01062404A
IN
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036074003
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00449116
RAILROAD MEDICARE
IL
Enumeration date
06/02/2006
Last updated
09/28/2011
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