Organization
CALUMET PHYSICIANS ASS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAI DEV ARYA M.D. (PRESIDENT)
(773) 995-3405
Entity
Organization
Contact information
Practice address
67 W 111TH ST STE 301, CHICAGO, IL 60628-4247
(773) 995-3405
(773) 995-3408
Mailing address
67 W 111TH ST STE 301, CHICAGO, IL 60628-4247
(773) 995-3405
(773) 995-3408
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
IL
207Q00000X
Family Medicine Physician
Primary
—
IL
207R00000X
Internal Medicine Physician
—
IL
Other
Enumeration date
09/25/2006
Last updated
09/13/2007
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