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Miriam A. Kalichman

Pediatrics in Chicago, IL. Individual provider (NPI-1).

NPI number1629088158
StatusActive
Last updated in NPPESJan 24, 2008

Details

NPI
1629088158
Entity type
Individual (NPI-1)
Name
Miriam A. Kalichman
Sex
Female
Sole proprietor
No
Enumeration date
Aug 8, 2006
Last updated
Jan 24, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics036057415ILYes

Practice location

1740 W Taylor St
Chicago, IL 60612-7232

Phone 866-600-2273

Mailing address

1919 W Taylor St
Mc 681
Chicago, IL 60612-7246

Phone 312-996-7202 · Fax 312-413-3445

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