Healthcare Provider Details

I. General information

NPI: 1144008202
Provider Name (Legal Business Name): CAITLIN ANNE CALIRI DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAITLIN ANNE FALLON DPT

II. Dates (important events)

Enumeration Date: 09/20/2023
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 N STATE ST
CHICAGO IL
60654-3820
US

IV. Provider business mailing address

710 N STATE ST
CHICAGO IL
60654-3820
US

V. Phone/Fax

Practice location:
  • Phone: 630-933-1500
  • Fax: 630-933-1550
Mailing address:
  • Phone: 630-933-1500
  • Fax: 630-933-1550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070039965
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number16537-24
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: