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Individual

LILLIAN KEAN KAMALESON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPM, CPM

Contact information

Practice address
6503 S HERMITAGE AVE APT 2, CHICAGO, IL 60636-3011
(773) 875-3296
Mailing address
6503 S HERMITAGE AVE APT 2, CHICAGO, IL 60636-3011
(773) 875-3296

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
CPM25090844
IL
207VX0000X
Obstetrics Physician
Primary
CPM25090844
IL

Other

Enumeration date
02/05/2026
Last updated
02/19/2026
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