Individual
JANE KALMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
5114 N GLEN PARK PLACE RD, PEORIA, IL 61614-4686
(309) 683-6600
(309) 683-2412
Mailing address
305 W MORNINGSIDE DR, PEORIA, IL 61614-2138
(309) 693-0894
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085000399
IL
Other
Enumeration date
06/08/2006
Last updated
11/07/2011
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