Individual provider · Type 1 NPI

William Blake Civiletta-Kalich, PA

Physician Assistant · Zion, IL

NPI number 1386607356 Active

Practice location

2520 Elisha Avenue
Zion, IL 60099

Call (414) 325-7246 Map

Fax (414) 325-3770

Mailing address

2361 Paysphere Circle
Chicago, IL 60674

Specialties and licenses

Taxonomy	Code	License
Physician Assistant	363A00000X	1748023 (WI)
Physician Assistant Primary	363A00000X	085.003749 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1386607356

William Blake Civiletta-Kalich, PA's National Provider Identifier is 1386607356, issued on Apr 10, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Zion, IL. The record was last updated on Oct 9, 2018.