Doctor Name: | MRS. KARIN KALLWITZ |
NPI Number: | 1003800129 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | |
Business Practice Address: | 1170 E Belvidere Rd Ste 106 Grayslake, IL - 600302061 |
Business Phone Number: | 8475487337 |
Business Fax Number: | 8475489909 |
Mailing Address: | 1170 E Belvidere Rd, Ste 106 GRAYSLAKE |
State: | IL |
Postal Code: | 600302061 |
Phone Number: | 8475487337 |
Fax Number: | 8475489909 |
NPI Enumeration Date: | 09/02/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |