Individual
KALEB CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2535 SODERQUIST CT, GENEVA, IL 60134-0020
(630) 584-1400
(630) 584-1733
Mailing address
2525 KANEVILLE RD, GENEVA, IL 60134-2578
(630) 584-1400
(630) 584-1733
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009365
IL
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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