MEDICARE: JOSEPH W. KALAL, D.C., LTD.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	038-004161	IL

General Provider Information

NPI Number	:	1831311612
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSEPH W. KALAL, D.C., LTD.

Provider Business Mailing Address
First Line	:	6448 N CENTRAL AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60646-2935
Country	:	US
Telephone Number	:	773-774-9200
Fax Number	:	773-774-6589

Provider Business Practice Location Address
First Line	:	6448 N CENTRAL AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60646-2935
Country	:	US
Telephone Number	:	773-774-9200
Fax Number	:	773-774-6589

Authorized Official
Title or Position	:	DOCTOR/PRESIDENT
Name	:	JOSEPH W KALAL
Credential	:	D.C.
Telephone Number	:	773-774-9200

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	09/24/2013

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