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Contact Information

WILLIAM B CIVILETTA KALICH, PA
2520 ELISHA AVENUE
ZION, IL60099
 Phone: 414-325-7246
 Fax: 414-325-3770
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for WILLIAM B CIVILETTA KALICH · (Male)

NPI Number 1386607356
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 04/10/2006
Last updated 10/09/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 085.003749
  • WI License # 1748023
Hospital affiliation(s)
  • MIDWESTERN REGION MED CENTER - (Acute Care)
    2520 ELISHA AVENUE
    ZION, IL 60099
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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