Basic Information
Provider Information
NPI: 1629017009
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KALHAN
FirstName: RAVI
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 680 N LAKE SHORE DR
Address2: SUITE 1000
City: CHICAGO
State: IL
PostalCode: 606114546
CountryCode: US
TelephoneNumber: 3126959797
FaxNumber: 3126954741
Practice Location
Address1: 675 N SAINT CLAIR ST
Address2: GALTER 18-250
City: CHICAGO
State: IL
PostalCode: 606115975
CountryCode: US
TelephoneNumber: 3126951800
FaxNumber: 3126954741
Other Information
ProviderEnumerationDate: 06/04/2006
LastUpdateDate: 09/01/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001X036-108872ILY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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