SHIVANI KALU, M.D. - NPI NUMBER 1922318757

Summary

Provider Name: SHIVANI KALU, M.D.

NPI Number: 1922318757

Clasification: Internal Medicine (207R00000X)

Address:
455 W WELLINGTON AVE
UNIT # 363
CHICAGO, IL
ZIP 60657

Phone Number: (425) 802-1801



Detailed Information

Shivani Kalu, M.D. is an internist in Chicago, IL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. The assigned NPI number for this provider is 1922318757 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

455 W WELLINGTON AVE
UNIT # 363
CHICAGO, IL
ZIP 60657-857
Phone: (425) 802-1801

The enumeration date for this NPI number is 10/14/2010 and was last updated on 10/14/2010.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207R00000X Internal Medicine 125.057322 IL Yes

NPI Record

No. Field Name Field Value
1 NPI 1922318757
2 Entity Type Code 1
3 Provider Last Name Legal Name KALU
4 Provider First Name SHIVANI
5 Provider Credential Text M.D.
6 Provider First Line Business Practice Location Address 455 W WELLINGTON AVE
7 Provider Second Line Business Practice Location Address UNIT # 363
8 Provider Business Practice Location Address City Name CHICAGO
9 Provider Business Practice Location Address State Name IL
10 Provider Business Practice Location Address Postal Code 606575857
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 4258021801
13 Provider Enumeration Date 10/14/2010
14 Last Update Date 10/14/2010
15 Provider Gender Code F
16 Healthcare Provider Taxonomy Code 1 207R00000X
17 Provider License Number 1 125.057322
18 Provider License Number State Code 1 IL
19 Healthcare Provider Primary Taxonomy Switch 1 Y
20 Is Sole Proprietor N

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This page was last updated on: 7/15/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.