Organization
K.A.M ALLIANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA J RATCLIFFE (CHIEF EXECUTIVE OFFICER)
(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
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007105099
—
IL
05
—
525579
—
IL
05
—
5255799058
—
IL
Enumeration date
09/21/2018
Last updated
11/20/2018
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