Individual
KALISHA ASHARA HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20201 CRAWFORD AVE, ST JAMES HOSPITAL OLYMPIA FIELDS CAMPUS, OLYMPIA FIELDS, IL 60461-1010
(708) 747-4000
(708) 503-3242
Mailing address
113 E 4TH ST, MICHIGAN CITY, IN 46360-3301
(219) 879-2208
(219) 873-3131
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
01057306A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01630255
BC/BS
IL
01
—
297680
BC/BS
IN
01
—
5496754
CCN
IN
Enumeration date
08/25/2005
Last updated
04/16/2008
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