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NPI Code Detail

MEDICARE: DR. SEJAL KALAWADIA MD

MEDICARE: DR. SEJAL KALAWADIA MD
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
1207RN0300XNephrology Physician036096965IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194722108
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SEJAL KALAWADIA MD
Provider Business Mailing Address
First Line : 120 W 22ND ST STE 200
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-1563
Country : US
Telephone Number : 630-573-5000
Fax Number :
Provider Business Practice Location Address
First Line : 13755 CICERO AVE
Second Line :
City : CRESTWOOD
State : IL
Zip : 60418-1824
Country : US
Telephone Number : 708-388-0499
Fax Number : 708-388-0283
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2005
Last Update Date : 02/01/2023

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Directions to “ DR. SEJAL KALAWADIA MD” Practice Location

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