Provider Demographics
| NPI: | 1669603858 |
|---|---|
| Name: | KALNINS, ALEKSANDRS U (MD) |
| Entity type: | Individual |
| Prefix: | |
| First Name: | ALEKSANDRS |
| Middle Name: | U |
| Last Name: | KALNINS |
| Suffix: | |
| Gender: | M |
| Credentials: | MD |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | 2650 RIDGE AVE |
| Mailing Address - Street 2: | DEPT OF RADIOLOGY |
| Mailing Address - City: | EVANSTON |
| Mailing Address - State: | IL |
| Mailing Address - Zip Code: | 60201-1057 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 847-570-2475 |
| Mailing Address - Fax: | 847-570-2942 |
| Practice Address - Street 1: | 2650 RIDGE AVE |
| Practice Address - Street 2: | DEPT OF RADIOLOGY |
| Practice Address - City: | EVANSTON |
| Practice Address - State: | IL |
| Practice Address - Zip Code: | 60201-1057 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 847-570-2486 |
| Practice Address - Fax: | |
| Is Sole Proprietor?: | Yes |
| Enumeration Date: | 2009-08-05 |
| Last Update Date: | 2023-01-31 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| IL | 036141662 | 2085D0003X, 2085R0202X, 2085N0700X |
| MI | 4301094847 | 2085R0202X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 2085N0700X | Allopathic & Osteopathic Physicians | Radiology | Neuroradiology |
| No | 2085D0003X | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Neuroimaging |
| No | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |