| Mr William Blake Civiletta-kalich, PA | |
|
2520 Elisha Avenue, Zion, IL 60099 | |
| (414) 325-7246 | |
| (414) 325-3770 |
| Full Name | Mr William Blake Civiletta-kalich |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2520 Elisha Avenue, Zion, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386607356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1748023 (Wisconsin) | Secondary |
| 363A00000X | Physician Assistant | 085.003749 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr William Blake Civiletta-kalich, PA 2361 Paysphere Circle, Chicago, IL 60674 Ph: (414) 325-7246 | Mr William Blake Civiletta-kalich, PA 2520 Elisha Avenue, Zion, IL 60099 Ph: (414) 325-7246 |
Lily L Zhao, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 2520 Elisha Ave, Zion, IL 60099 Phone: 630-835-6159 | |
Daina Mallard, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2520 Elisha Ave, Zion, IL 60099 Phone: 847-872-6259 | |
Ms. Mauliben Patel, P.A Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2606 Elisha Ave, Zion, IL 60099 Phone: 847-872-4558 Fax: 847-872-2042 | |
Sarah A Moony, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2520 Elisha Avenue, Zion, IL 60099 Phone: 800-322-9183 Fax: 414-238-2424 | |
Elissar Zeineddine, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2520 Elisha Ave, Zion, IL 60099 Phone: 800-322-9183 | |
Mr. William Barris Sr., RSA, CSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3814 Harmony Dr, Zion, IL 60099 Phone: 312-292-1308 |