Look up the most recent NPI and PECOS records

Jennifer Kalil

Surgery

Allopathic & Osteopathic Physicians

1650 W Harrison St Ste 466, Chicago, IL 60612

PECOS Enrollment

Based on the most recent information from CMS, provider Jennifer Kalil is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1053705095
Provider Type
Individual
Full Name
Kalil, Jennifer
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
3/27/2015
Last Updated
7/30/2018

Contact Information

Practice Location

1650 W Harrison St Ste 466, Chicago, IL 60612

(216) 844-1000

Unlisted Fax

Mailing Location

1650 W Harrison St Ste 466, Chicago, IL 60612-3800

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208600000X Primary	Description Surgery Allopathic & Osteopathic Physicians	License 125072107 Illinois
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Jennifer Kalil

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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Taaca, Allan Manuel

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