Kallie Walczak, PT
Individual provider Active NPI Physical Therapist · Chillicothe, IL
NPI 1154768232 · NPPES record last updated May 29, 2013
Key facts
- NPI
- 1154768232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 525 S Sweetbriar Dr
Chillicothe, IL 61523-2264 - Phone
- (309) 274-6314
- Fax
- (309) 274-4100
- NPI assigned
- May 29, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Healthcare System | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | IL | Yes |
Addresses
Primary practice location
525 S Sweetbriar Dr
Chillicothe, IL 61523-2264
Mailing address
525 S Sweetbriar Dr
Chillicothe, IL 61523-2264
Phone (309) 274-6314
Other providers in Chillicothe, IL
- Maureen J Sylvester
- T. J. Freund DDS, P.C.
- Amber Lynne Tucker-Fishel
- Tim Vega
- Holly Lynne Waggoner
- Lora A Weber
- Megan Webster
- Weekleys Home Medical Inc.
All providers in Chillicothe, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.