Kaltman, Jerome O

Kaltman, Jerome O is an individual health care provider with primary practice located at 917 Sherwood Dr , Lake Bluff IL 60044-2203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kaltman, Jerome O can be contacted via phone (847) 295-1220.

Contact Information

Primary practice address
917 Sherwood Dr Lake Bluff IL 60044-2203
Fax: (847) 295-1225
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36058914 Illinois

Profile Details

NPI number 1356455794
LBN Legal business name Kaltman, Jerome O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Mar 20th, 2015 - about 9 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 1356455794 NPPES
Illinois MEDICAID 360058914

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