Individual
PETER KALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 E HURON ST, CHICAGO, IL 60611-3197
(312) 238-7186
Mailing address
840 MERRILL WOODS RD, HINSDALE, IL 60521-2839
(630) 207-3213
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-091104
IL
208M00000X
Hospitalist Physician
Primary
036-091104
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-091104
—
IL
Enumeration date
06/14/2006
Last updated
02/22/2019
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