Organization
KINSHIP PACE OF ILLINOIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER HULON (COMPLIANCE OFFICER)
(727) 417-5819
Entity
Organization
Contact information
Practice address
6560 W FULLERTON AVE STE C144, CHICAGO, IL 60707-3439
(754) 328-4715
Mailing address
225 CROSSWAYS PARK DR, WOODBURY, NY 11797-2083
(754) 328-4715
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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