Juan Carlo Capiral Calvadores, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056-008637 Issued in IL

Practice address

5946 N Milwaukee Ave
Chicago, IL 60646-5424

Phone

(773) 775-6637

Fax

(773) 775-6638

NPI assigned

Jul 19, 2011

Last updated

Jul 19, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311033600000",
    "number": "1093003451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5946 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465424",
            "telephone_number": "773-775-6637",
            "fax_number": "773-775-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5946 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465424",
            "telephone_number": "773-775-6637",
            "fax_number": "773-775-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVADORES",
        "first_name": "JUAN CARLO",
        "middle_name": "CAPIRAL",
        "name_prefix": "Mr.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056-008637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "056-008637",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Kayle Sibal Calpe, MS, OTR/L
• Jinnah A Caluag, RPH
• Calumet Counseling and Dui Services,Inc
• Calumet Physicians Ass LTD
• Calin Caluser, M.D.
• Mary Grace Calvadores, MS,CCC-SLP
• Jenna Calvarese, M.S.
• Michelle Audrey Calvario, CNP
• Corissa Marie Calvert, OTR/L
• Leslye Calvillo Rivera

• Occupational Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.