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Organization
KEYCARE MEDICAL, P.A.
Active
Organization
KEYCARE MEDICAL, P.A.
Active
Other names
KeyCare
Organization subpart
No
Provider details
NPI number
Authorized official
KARIL ANN WALTHER (VICE PRESIDENT PRACTICE OPERATIONS)
(608) 235-7970
Entity
Organization
Contact information
Practice address
1713 W. DIVERSEY PKWY, SUITE G, CHICAGO, IL 60614
(331) 472-7443
Mailing address
1440 W TAYLOR ST # 227, CHICAGO, IL 60607-4623
(331) 472-7443
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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