Provider Demographics
NPI:1316992993
Name:CALUB, BEVERLY A (MD)
Entity type:Individual
Prefix:DR
First Name:BEVERLY
Middle Name:A
Last Name:CALUB
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Gender:F
Credentials:MD
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Mailing Address - Street 1:850 N MILWAUKEE AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:VERNON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60061-1553
Mailing Address - Country:US
Mailing Address - Phone:847-573-9663
Mailing Address - Fax:847-573-9662
Practice Address - Street 1:850 N MILWAUKEE AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:VERNON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60061-1553
Practice Address - Country:US
Practice Address - Phone:847-573-9663
Practice Address - Fax:847-573-9662
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2012-05-17
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Provider Licenses
StateLicense IDTaxonomies
IL036088481207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILF83106Medicare UPIN