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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB KALLIATH, D.O.

Active Sole Proprietor

JACOB KALLIATH, D.O. is a Internal Medicine healthcare provider located in OLYMPIA FIELDS, Illinois. NPI 1134569395 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · OLYMPIA FIELDS, IL

Registration Details

NPI Number
1134569395
Provider Type
Individual
Gender
Male
NPI Issued
Jul 2, 2013 (12.972357715726 yrs)
Last Updated
Oct 30, 2020
Licenses
DR0057617 (CO)
02005206A (IN)
036138730 (IL)
12506386 (IL)
Sole Proprietor
Yes

Practice Information

Address
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL, 60461
Browse IL providers · Browse ZIP 60461
Phone
7086792160
Fax
7086792161
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine
Additional Specialty
Hospitalist
Additional Specialty
Internal Medicine

Other Internal Medicine Providers in OLYMPIA FIELDS, IL

Name Credential NPI
MUHAMMAD Q. CHOUDRY MD 1720074701
SANJEEV V JOSHI M.D. 1962467563
NAVNEET SINGH M.D. 1194783217
JULIE R BRANDIES M.D. 1467405472
ROBIN DALE SNEAD M.D. 1972695526
DR. SAVIO G MANATT M.D. 1063585032
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.