DR. CALVIN HALL JR. (NPI# 1992781702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992781702 |
| Entity Type | Individual |
| Full Name | DR. CALVIN HALL JR. |
| Credential | MD |
| Practice Address |
2600 S Michigan Ave Suite 403 Chicago IL 60616-2857 |
| Practice Telephone | 3123262600 |
| Practice Fax Number | 3123262636 |
| Mailing Telephone | 3123262600 |
| Mailing Fax Number | 3123262636 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2010-08-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
036053292 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BSBS - IL - INDIVIDUAL | 001617095 | 01 |
| IL | 036053292 | 05 | |
| IL | RAILROAD - IL | 100008176 | 01 |
| IL | MEDICARE PROVIDER NUMBER | 705190 | 01 |
| IL | BCBS - GROUP - ILLINOIS | 01621679 | 01 |
| IL | NPI - INDIVIDUAL | 1992781702 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104268952 | Calvin Hall Jr. | Psychologist | 3101 Rackley Dr, Tallahassee, FL 32305-6737 | 2013-07-22 |
| 1164752309 | Calvin L Hall | Counselor | 10908 Grandview Ave, Cleveland, OH 44104-3529 | 2010-01-11 |
| Street Address |
2600 S MICHIGAN AVE SUITE 403 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60616-2857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184616310 | Farzana Begum | Internal Medicine | 2600 S Michigan Ave, Suite 310, Chicago, IL 60616-2857 | 2005-08-15 |
| 1255889622 | Cordia M. Clark-white, Md, Ltd | Obstetrics & Gynecology | 2600 S Michigan Ave, Suite 305, Chicago, IL 60616-2857 | 2016-09-14 |
| 1801264809 | Renuka Chilajwar | Physical Therapist | 2600 S Michigan Ave, Suite 102, Chicago, IL 60616-2857 | 2015-09-08 |
| 1295119469 | Bridget Racky | Specialist | 2600 S Michigan Ave, Suite 102, Chicago, IL 60616-2857 | 2015-07-16 |
| 1629476635 | Aids Healthcare Foundation | Clinic/Center | 2600 S Michigan Ave, Suite Ll-d, Chicago, IL 60616-2857 | 2014-12-08 |
| 1720482102 | Access Physical Therapy Iv, Inc | Specialist | 2600 S Michigan Ave, Suite 102, Chicago, IL 60616-2857 | 2014-10-14 |
| 1619387255 | Anna Gacke | Dietitian, Registered | 2600 S Michigan Ave, Ste 408, Chicago, IL 60616-2857 | 2014-05-05 |
| 1972885325 | South Shore Med & Rehab Center | Clinic/Center | 2600 S Michigan Ave, Suite Ll-b, Chicago, IL 60616-2857 | 2011-09-12 |
| 1407145519 | Maryanne Nyree Williams | Psychologist | 2600 S Michigan Ave, Suite 405, Chicago, IL 60616-2857 | 2011-03-30 |
| 1720393945 | Christina Terrazas | Physician Assistant | 2600 S Michigan Ave, Suite 305, Chicago, IL 60616-2857 | 2010-08-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558993758 | King Dental, PC | Clinic/Center | 3425 S King Dr, Chicago, IL 60616 | 2020-02-06 |
| 1386286144 | Anais Karel Jackson-gonzalez | Acupuncturist | 2018 S. Michigan Ave., Chicago, IL 60616 | 2019-10-14 |
| 1215499777 | Mashaal F Ikram | Student in an Organized Health Care Education/Training Program | Mercy Hospital and Medical Center, 2525 South Michigan Avenue, Chicago, IL 60616 | 2019-04-03 |
| 1891254223 | Towayn Heaven | Acupuncturist | 2018 S Michigan Ave, Chicago, IL 60616 | 2019-03-15 |
| 1689131518 | Abhishek Santos Pandya | Internal Medicine | 2525 S Michigan Ave., Mercy Hospital and Medical Center, Chicago, IL 60616 | 2019-02-27 |
| 1144703992 | Katelyn Michelle St Martin | Physician Assistant | 2850 S Michigan Ave Ste 100, Chicago, IL 60616 | 2018-09-07 |
| 1902383953 | Healing Empowering & Learning Professionals LLC | Clinic/Center | 2930 S Michigan Ave Ste 100, Chicago, IL 60616 | 2018-07-23 |
| 1437644812 | Puja Bhagwakar | Dentist | 1620 S Michigan Ave Unit 704, Chicago, IL 60616 | 2018-06-27 |
| 1821589110 | David Alexander Sousa Frias | Internal Medicine | 2525 Michigan Ave, Mercy Hospital At Medical Center, Chicago, IL 60616 | 2018-05-23 |
| 1508394933 | Awad Eyecare Sc | Optometrist | 1845 S Michigan Ave Unit 1803, Chicago, IL 60616 | 2017-05-30 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104303296 | Amanda Israel | Internal Medicine | 5841 S Maryland Ave # 4076m410, Chicago, IL 60637-1443 | 2018-07-23 |
| 1447765888 | David Henoch Barch | Internal Medicine | 3431 N Leavitt St, Chicago, IL 60618-6013 | 2017-12-07 |
| 1205218658 | Ye Eun Kwak | Internal Medicine | 5841 S Maryland Ave Rm J-517, Chicago, IL 60637 | 2015-06-22 |
| 1154749042 | Joshua Michael Steinberg | Internal Medicine | 5841 S Maryland Ave # 4076, Chicago, IL 60637-1443 | 2014-03-28 |
| 1447599311 | Seymour Marshall Sabesin | Internal Medicine | 630 S Hermitage Ave, Suite 802, Chicago, IL 60612-3874 | 2013-02-12 |
| 1265796429 | Jonathan Mark Erlich | Internal Medicine | 7447 W Talcott Ave Ste 209, Chicago, IL 60631-3713 | 2012-07-02 |
| 1255628921 | Michael O Blackstone | Internal Medicine | 4103 N Harding Ave, Chicago, IL 60618-1913 | 2011-07-01 |
| 1346533213 | Amanda Guentner | Internal Medicine | 259 E Erie St Ste 2250, Chicago, IL 60611-3264 | 2011-05-25 |
| 1962795450 | Christine Chan | Internal Medicine | 429 W Melrose St, Apt. 2e, Chicago, IL 60657-3878 | 2011-05-17 |
| 1295039865 | Cemal Yazici | Internal Medicine | 840 S Wood Street Suite 718e, Chicago, IL 60612 | 2010-12-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.