Calisoff, Randy Lyle

Calisoff, Randy Lyle is an individual health care provider with primary practice located at 355 E Erie St Fl 14 , Chicago IL 60611-3167. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Calisoff, Randy Lyle can be contacted via phone (312) 238-7800.

Contact Information

Primary practice address
355 E Erie St Fl 14 Chicago IL 60611-3167
Phone: (312) 238-7800
Fax: (312) 238-7801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 036-123018 Illinois
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 036-123018 Illinois
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 036-123018 Illinois

Profile Details

NPI number 1205920659
LBN Legal business name Calisoff, Randy Lyle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Apr 22nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205920659 NPPES
Illinois MEDICAID 036123018-1

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