| K.a.m Alliance, Inc. | |
|
135 N Greenleaf St Ste 228 Gurnee IL 60031-3371 | |
| (847) 201-4070 | |
| (773) 239-9601 |
| Full Name | K.a.m Alliance, Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 135 N Greenleaf St Ste 228, Gurnee, Illinois |
| Authorized Official Name and Position | Angela J Ratcliffe (ADMINISTRATOR) |
| Authorized Official Contact | 7732399600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| K.a.m Alliance, Inc. 2215 W 95th St # 100 Chicago IL 60643-1001 Ph: (773) 239-9600 | K.a.m Alliance, Inc. 135 N Greenleaf St Ste 228 Gurnee IL 60031-3371 Ph: (847) 201-4070 |
| NPI Number | 1609637925 |
|---|---|
| Provider Enumeration Date | 01/23/2024 |
| Last Update Date | 05/01/2025 |
| Certification Date | 05/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609637925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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