| Doctor Name: | MR. ROGER ALLAN KALISIAK |
| NPI Number: | 1396711370 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS,ATC |
| License Number: | |
| Business Practice Address: | 1100 W Higgins Rd Hoffman Estates High School Hoffman Estates, IL - 601953050 |
| Business Phone Number: | 8477555790 |
| Business Fax Number: | |
| Mailing Address: | 915 Patriot Ln, HOFFMAN ESTATES |
| State: | IL |
| Postal Code: | 601951829 |
| Phone Number: | 8479911468 |
| Fax Number: | |
| NPI Enumeration Date: | 02/28/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |