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DR. RANDY LYLE CALISOFF M.D. NPI 1205920659


NPI Information

NPI: 1205920659
Provider Name: DR. RANDY LYLE CALISOFF, M.D.
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Individual

Specialization: Pain Medicine

Organization: MEDICAL SERVICES RIC

PECOS Registration: Yes

Address:
345 E SUPERIOR ST FL 12
CHICAGO, IL
ZIP 60611
Phone: (312) 238-7800
Get Directions

DR. Randy Lyle Calisoff, M.D. is a pain medicine physical medicine rehabilitation in Chicago, IL with 19 years of experience. The provider is 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. DR. Randy Lyle Calisoff, M.D. NPI is 1205920659. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:2005

The provider's business location address is:

345 E SUPERIOR ST FL 12
CHICAGO, IL
ZIP 60611-654
Phone: (312) 238-7800
Fax: (312) 238-7801

The NPI 1205920659 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 4/28/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208100000XPhysical Medicine & Rehabilitation036-123018ILLINOISNo
22081P2900XPhysical Medicine & RehabilitationPain Medicine036-123018ILLINOISYes
3208VP0014XPain MedicineInterventional Pain Medicine036-123018ILLINOISNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1036123018-1MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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.