Elyse Jessie Kalil, | |
343 W Wolf Point Plz Unit 1612, Chicago, IL 60654-0103 | |
(248) 499-0514 | |
Not Available |
Full Name | Elyse Jessie Kalil |
---|---|
Gender | Female |
Speciality | Registered Nurse - Critical Care Medicine |
Location | 343 W Wolf Point Plz Unit 1612, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598484024 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0200X | Registered Nurse - Critical Care Medicine | 041.498351 (Illinois) | Primary |
Entity Name | Endeavor Health Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
Mailing Address | Practice Location Address |
---|---|
Elyse Jessie Kalil, 343 W Wolf Point Plz Unit 1612, Chicago, IL 60654-0103 Ph: (248) 499-0514 | Elyse Jessie Kalil, 343 W Wolf Point Plz Unit 1612, Chicago, IL 60654-0103 Ph: (248) 499-0514 |
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