Organization
K.A.M ALLIANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA J RATCLIFFE (ADMINISTRATOR)
(773) 239-9600
Entity
Organization
Contact information
Practice address
2215 W 95TH ST # 100, CHICAGO, IL 60643-1001
(773) 239-9600
(773) 239-9601
Mailing address
2215 W 95TH ST # 100, CHICAGO, IL 60643-1001
(773) 239-9600
(773) 239-9601
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A-6958-0001-A
—
IL
Enumeration date
02/23/2021
Last updated
05/01/2025
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