Kalapp, Inc
Organization Active NPI Chiropractor · La Salle, IL
NPI 1760909675 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1760909675
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 038.010808 (IL)
- Legal business name
- KALAPP, INC
- Practice address
- 2426 Chartres St
La Salle, IL 61301-1107 - Phone
- (815) 223-0988
- NPI assigned
- Aug 23, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. David Keane Kalapp, DC
- Title
- President
- Phone
- (815) 223-0988
Practitioners 1
-
David Keane Kalapp, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180319001306 | IL | Part B Supplier - Clinic/Group Practice | 7810259470 |
Receives reassigned benefits from 1 practitioner Practice locations: Peru, IL |
National Provider Directory
Locations
2426 Chartres St
La Salle, IL 61301
Phone (815) 223-0988
944 4th St
Peru, IL 61354
Phone (815) 223-0988
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 038.010808 | IL | Yes |
Addresses
Primary practice location
2426 Chartres St
La Salle, IL 61301-1107
Mailing address
2426 Chartres St
La Salle, IL 61301-1107
Phone (815) 223-0988
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184782294 | Medicaid | IL |
Other names
- Active Life Chiropractic
Other providers in La Salle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.