William Blake Civiletta-Kalic in Chicago - Physician Assistant
William Blake Civiletta-Kalic - NPI 1386607356
William Blake Civiletta-Kalic is a Physician Assistant in Chicago, Illinois. William Blake Civiletta-Kalic practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for William Blake Civiletta-Kalic is 1386607356. The last update date is 2018-10-09.
William Blake Civiletta-Kalic's current location address is 2361 Paysphere Circle, Chicago, Illinois. You can contact this provider via phone number 4143257246 and fax number 4143253770. The mailing address for William Blake Civiletta-Kalic is 2361 Paysphere Circle, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Blake Civiletta-Kalic |
|---|---|
| Address | 2361 Paysphere Circle, Chicago, Illinois |
| Phone Number | 4143257246 |
| Fax Number | 4143253770 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1386607356 |
|---|---|
| Provider Enumeration Date | 2006-04-10 |
| Last Updated Date | 2018-10-09 |
Provider Mailing Address Detail
| Address | 2361 Paysphere Circle |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 60674 |
| Phone Number | 4143257246 |
| Fax Number | 4143253770 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1748023 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the William Blake Civiletta-Kalic's unique identification number?
The William Blake Civiletta-Kalic has been assigned the NPI (National Provider Identifier) Number 1386607356 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where William Blake Civiletta-Kalic is geographically located?
The William Blake Civiletta-Kalic is physically situated at the following location: 2361 Paysphere Circle, Chicago, IL, 60674.
What is the William Blake Civiletta-Kalic's specialty and taxonomy code?
The William Blake Civiletta-Kalic's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When did William Blake Civiletta-Kalic receive its 1386607356 assignment?
The William Blake Civiletta-Kalic was assigned its 1386607356 on 2006-04-10, which is the date when this unique identifier was issued to the organization.
As of what date were the William Blake Civiletta-Kalic's details last updated?
The information pertaining to the William Blake Civiletta-Kalic, including its address, specialty, and other details, was most recently updated on 2018-10-09.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA