Individual
UWA KALU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4309 W MEDICAL CENTER DR STE A102, MCHENRY, IL 60050-8436
(815) 338-6600
Mailing address
4309 W MEDICAL CENTER DR STE A102, MCHENRY, IL 60050-8436
(815) 338-6600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125056343
IL
207Q00000X
Family Medicine Physician
57764-20
WI
208M00000X
Hospitalist Physician
Primary
036128826
IL
208M00000X
Hospitalist Physician
57764-20
WI
Other
Enumeration date
06/17/2009
Last updated
07/05/2023
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