Kalina, Jared Allan

Kalina, Jared Allan is an individual health care provider with primary practice located at 334 Circle Ave , Forest Park IL 60130-1610. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Kalina, Jared Allan can be contacted via phone (708) 628-8574.

Contact Information

Primary practice address
334 Circle Ave Forest Park IL 60130-1610
Phone: (708) 628-8574
Fax: (866) 282-9069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 036119113 Illinois

Profile Details

NPI number 1871741132
LBN Legal business name Kalina, Jared Allan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2008
Last updated Nov 11th, 2020 - about 4 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 1871741132 NPPES
Illinois Other 036119113 PHYSICIAN LICENSE

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