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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036123018-1 | 05 |
Street Address |
345 E SUPERIOR ST FL 12 |
City | CHICAGO |
State | IL |
Zip Code | 60611-2654 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
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 |
1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
Find all providers in zip 60611 |
Taxonomy Code | 2081P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pain Medicine |
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. |
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 |
Find all providers in CHICAGO |
Please comment or provide details below to improve the information on DR. RANDY LYLE CALISOFF.
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.