Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 038.011241 | IL |
N | 111NI0013X | Independent Medical Examiner | 038.011241 | IL |
Y | 207R00000X | Internist | 038.011241 | IL |
Y | 111NI0900X | Internist | 038.011241 | IL |
N | 111NP0017X | Pediatric Chiropractor | 038.011241 | IL |
NPI | 1457503518 |
---|---|
Provider Name | Dr. Reda Karaliukas |
First Address | Willowbrook, IL 60527-3216 |
Second Address | Willowbrook, IL 60527-3216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2008 |
Last Update Date | 21/10/2008 |