You can't turn an existing column into an identity column.* If you need an identity column, add a new column:
ALTER TABLE Calls2 ADD Calls2Id int NOT NULL IDENTITY(1,1) ;
Or, if you need to use one of the existing columns, you'll need to use an explicit CREATE TABLE to define the table rather than SELECT...INTO. You'll also need to use SET IDENTITY INSERT Calls2 ON before your INSERT INTO.
CREATE TABLE Calls2 (
...columns...
) ;
SET IDENTITY_INSERT Calls2 ON ;
INSERT INTO Calls2 (... columns ...) SELECT ... columns ... FROM Calls, Patient ;
SET IDENTITY_INSERT Calls2 OFF ;
*Although the designer may pretend to turn it into an identity column, that's not actually what's happening. As Aaron Bertrand mentions in his response, the table is being recreated with the column defined as an identity column to begin with.