Kallas, Peter

Kallas, Peter is an individual health care provider with primary practice located at 201 E Huron St , Chicago IL 60611-3197. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Kallas, Peter can be contacted via phone (312) 238-7186.

Contact Information

Primary practice address
201 E Huron St Chicago IL 60611-3197
Phone: (312) 238-7186
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-091104 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036-091104 Illinois

Profile Details

NPI number 1760425797
LBN Legal business name Kallas, Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Feb 22nd, 2019 - about 5 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 1760425797 NPPES
Illinois MEDICAID 036-091104

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