Individual
PAMELA KILCREASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2247 119TH STREET, APT 6, BLUE ISLAND, IL 60406
(708) 953-5621
Mailing address
2247 119TH ST APT 6, BLUE ISLAND, IL 60406-1186
(708) 953-5621
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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