Individual
KALLISTA KAMBEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1614 E NORRIS DR, OTTAWA, IL 61350-3681
(815) 433-1010
(815) 433-0067
Mailing address
1614 E NORRIS DR, OTTAWA, IL 61350-3681
(815) 433-1010
(815) 433-0067
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036167538
IL
Other
Enumeration date
06/07/2021
Last updated
07/15/2024
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