William Joseph Kalman
Individual provider Active NPI Pharmacist · Peoria, IL
NPI 1255415865 · NPPES record last updated May 17, 2019
Key facts
- NPI
- 1255415865
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051-037929 (IL)
- Practice address
- 4625 N University St
Peoria, IL 61614-5828 - Phone
- (309) 681-8850
- Fax
- (309) 681-8856
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051-037929 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bulldog Alliance Inc. | Past | Accepting new patients | |
| Kalman Health & Wellness Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051-037929 | IL | Yes |
Addresses
Primary practice location
4625 N University St
Peoria, IL 61614-5828
Mailing address
4625 N University St
Peoria, IL 61614-5828
Phone (309) 681-8850
Other practice location 1
318 S Plaza Park
Chillicothe, IL 61523-2214
Phone (309) 274-9571
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2019. 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.