Organization · NPI-2

A Kavaliunas MD Sc

Internal Medicine · Chicago, IL

NPI number1003058058
StatusActive
Last updated in NPPESNov 3, 2009

Details

NPI
1003058058
Entity type
Organization (NPI-2)
Legal business name
A Kavaliunas MD Sc
Organization subpart
No
Enumeration date
Apr 6, 2009
Last updated
Nov 3, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine036036207ILYes

Practice location

5540 S Pulaski Rd
Chicago, IL 60629-4418

Phone 773-585-2802

Mailing address

5540 S Pulaski Rd
Chicago, IL 60629-4418

Phone 773-585-2802

Authorized official

Algirdas Kavaliunas
Provider
7735852802

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