Individual
DR. JASON MICHAEL KALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4211 N CICERO AVE STE 301, CHICAGO, IL 60641-1649
(773) 202-8800
Mailing address
4211 N CICERO AVE STE 301, CHICAGO, IL 60641-1649
(773) 202-8800
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
R71128
NY
213E00000X
Podiatrist
SC006242
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016.005508
IL
Other
Enumeration date
09/27/2011
Last updated
10/30/2020
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