Organization
ORTHOPEDIC ASSOCIATES OF KANKAKEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA K CHMIELEWSKI (DIRECTOR OF BILLING)
(815) 928-8060
Entity
Organization
Contact information
Practice address
400 S KENNEDY DR, BRADLEY, IL 60915-2682
(815) 928-8060
(800) 505-2218
Mailing address
400 S KENNEDY DR, BRADLEY, IL 60915
(815) 928-8060
(800) 505-2218
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003901
IL
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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