Individual
MS. JAMELIE KATHLEEN FORD III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7424 ARCHER AVE, SUMMIT, IL 60501-1279
(708) 458-8228
(708) 458-9177
Mailing address
16 163RD PL, CALUMET CITY, IL 60409-6002
(708) 933-0724
(708) 795-4800
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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