Active NPI
Kaleoulokawai Staszkow, M.D.
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1851476907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036100828
- Practice address
- 676 N St Clair
Suite 2300
Chicago, IL 60611-2922 - Phone
- (312) 926-6000
- Fax
- (312) 926-6323
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036100828 | IL | Primary |
Addresses
Primary practice location
676 N St Clair
Suite 2300
Chicago, IL 60611-2922
Mailing address
676 N St Clair
Suite 2300
Chicago, IL 60611-2922
Phone (312) 926-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036100828 | IL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358553600000",
"number": "1851476907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "676 N ST CLAIR",
"address_2": "SUITE 2300",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112922",
"telephone_number": "312-926-6000",
"fax_number": "312-926-6323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "676 N ST CLAIR",
"address_2": "SUITE 2300",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112922",
"telephone_number": "312-926-6000",
"fax_number": "312-926-6323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STASZKOW",
"first_name": "KALEOULOKAWAI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2013-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036100828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
- Robert Joseph Staszel, PHARM D
- Zuzanna Natalia Staszel, NP
- Beata Staszewski, LCPC
- Andrzej Staszkiewicz, MD
- Greg Staszko, PSY.D., LPHA
- Stat Surgical Assist
- State of Illinois
- State of Illinois Department of Human Services
- State of Mind Mental Health & Consultation Services P.C.
- Statewide Healthcare Services, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.