Kalee A Ahlin, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Oakbrook Terrace, IL
NPI 1396859997 · NPPES record last updated May 15, 2012
Key facts
- NPI
- 1396859997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 036-113207 (IL)
- Practice address
- 17W740 22ND Street
Oakbrook Terrace, IL 60181 - Phone
- (630) 327-7399
- Fax
- (630) 327-7382
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Tulane University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Loyola University Medical Center
Practice addresses (Care Compare)
2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-9000
Hospital & facility affiliations
- Loyola University Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060912000538 | IL | Practitioner - Obstetrics/Gynecology | 8921002536 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-113207 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loyola University Medical Center | Current | Accepting new patients | |
| Loyola University Medical Center | Current |
Accepting new patients | |
| Loyola University Medical Center | Current |
Accepting new patients |
Locations
500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119
2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400
2160 S 1st Ave
Bldg 103
Maywood, IL 60153
Phone (708) 216-6462
675 W North Ave
Ste 101
Melrose Park, IL 60160
Phone (708) 450-4935
1S224 Summit Ave
Oakbrook Terrace, IL 60181
Phone (630) 916-7088
17W740 22nd St
Oakbrook Terrace, IL 60181
Phone (630) 627-7399
1S260 Summit Ave
Oakbrook Terrace, IL 60181
Phone (630) 953-6600
2 Westbrook Corporate Ctr
Ste 600
Westchester, IL 60154
Phone (708) 216-5092
Interoperability endpoints
- kahlin34849@direct.luhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036-113207 | IL | Yes |
Addresses
Primary practice location
17W740 22ND Street
Oakbrook Terrace, IL 60181
Mailing address
2160 S 1St Ave
BLDG. 103, Room 1013a
Maywood, IL 60153-3328
Phone (708) 216-3380
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-113207 | Other | IL | STATE LECENSE |
Other providers in Oakbrook Terrace, IL
- Advanced Natural Health LTD
- Advanced Spine Pain Clinics of Chicagoland LLC
- Advent Home Health Services, Inc.
- Rania Agha
- Lily Agrawal
- Jibran Ahmed
- Akinosun Aesthetics P.C.
- Moriyike O Akinosun
- Raul Tony Aleman
- Suzanne Lee Alfano
All providers in Oakbrook Terrace, IL · Obstetrics & Gynecology Physician 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 15, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.