DR. RANDY LYLE CALISOFF


Address: 345 E Superior St Fl 12, Chicago, IL 60611-2654
Phone: 3122387800

DR. RANDY LYLE CALISOFF (NPI# 1205920659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205920659
Entity Type Individual
Full Name DR. RANDY LYLE CALISOFF
Credential M.D.
Practice Address 345 E Superior St Fl 12
Chicago
IL 60611-2654
Practice Telephone 3122387800
Practice Fax Number 3122387801
Mailing Telephone 3122387800
Mailing Fax Number 3122387801
Enumeration Date 2006-10-02
Last Update Date 2020-04-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208100000X Physical Medicine & Rehabilitation 036-123018 IL Allopathic & Osteopathic Physicians
Y 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
036-123018 IL Allopathic & Osteopathic Physicians
N 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
036-123018 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036123018-1 05

Office Location

Street Address 345 E SUPERIOR ST FL 12
City CHICAGO
State IL
Zip Code 60611-2654

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1487267845 Ashley Marie Sablich Student in an Organized Health Care Education/Training Program 250 E Huron Street, Suite 1-200, Chicago, IL 60611 2020-08-26
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1902439193 Iwona Boska Nurse Practitioner 676 N St.clair Street, Suite 2140, Chicago, IL 60611 2020-02-17
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Taxonomy Information

Taxonomy Code 2081P2900X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pain Medicine

Taxonomy Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285256982 Prm of Illinois Physical Medicine & Rehabilitation 625 N Michigan Ave Ste 810, Chicago, IL 60611-3110 2020-05-15
1376007757 Jose Angel Munoz Jr. Physical Medicine & Rehabilitation 5035 W Parker Ave, Chicago, IL 60639-1603 2019-01-30
1629315312 Chinatown Integrated Medicine Ltd Physical Medicine & Rehabilitation 2134b S Archer Ave Fl 2, Chicago, IL 60616-1514 2013-01-15
1730236928 Linda T Stewart Physical Medicine & Rehabilitation 4926 S Champlain Ave, Chicago, IL 60615-2541 2007-01-03
1275186033 Chicago Regenerative Medical Center Corporation Physical Medicine & Rehabilitation 4149 W 26th St, Chicago, IL 60623-4314 2019-07-22
1972013530 Armitage Orthopedics and Pain Ltd Physical Medicine & Rehabilitation 3055 W Armitage Ave, Chicago, IL 60647-3862 2017-10-09
1134541568 Express Healthcare Inc Physical Medicine & Rehabilitation 1502 W Chicago Ave, Chicago, IL 60642-5236 2014-01-21
1386806115 Divya Agrawal Physical Medicine & Rehabilitation 1611 W Harrison St Ste 400, Chicago, IL 60612 2008-07-02
1871752881 Shivani Shah Batra Physical Medicine & Rehabilitation 3000 N Halsted St Ste 525, Chicago, IL 60657-9269 2008-06-04
1154510311 Baljinder Singh Bathla Physical Medicine & Rehabilitation 1550 S Indiana Ave, Suite 100, Chicago, IL 60605-2857 2007-10-23
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Competitor

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City CHICAGO
Zip Code 60611

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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