Doctor Name: | DR. G STEVEN KALESPERIS |
NPI Number: | 1154613131 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O., J.D. |
License Number: | 5101019060 |
Business Practice Address: | 304 Tallman Ave Romeoville, IL - 604461748 |
Business Phone Number: | 6309757727 |
Business Fax Number: | |
Mailing Address: | 304 Tallman Ave, ROMEOVILLE |
State: | IL |
Postal Code: | 604461748 |
Phone Number: | 6309757727 |
Fax Number: | |
NPI Enumeration Date: | 05/09/2011 |
NPI Last Update Date: | 05/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204C00000X |
License Number: | 5101019060 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
Taxonomy Specialization: | |
Taxonomy Definition: |