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MR. WILLIAM BLAKE CIVILETTA-KALICH PA
NPI 1386607356
Physician Assistant in Zion, IL

Active since April 10, 2006
2520 ELISHA AVENUE, ZION, IL 60099(414) 325-7246(414) 325-3770 Get Directions Write a Review

NPPES record last updated: October 9, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. William Blake Civiletta-kalich Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. WILLIAM BLAKE CIVILETTA-KALICH PA (NPI 1386607356) is an individual physician assistant in Zion, Illinois, licensed in Illinois (085.003749) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1386607356
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. WILLIAM BLAKE CIVILETTA-KALICHCredential: PA
Location Address2520 ELISHA AVENUEZion, IL 60099
Mailing Address2361 Paysphere CircleChicago, IL 60674 · (414) 325-7246 · Fax (414) 325-3770
Phone(414) 325-7246
Fax(414) 325-3770
Sole ProprietorNo
Enumeration DateApril 10, 2006
Last NPPES UpdateOctober 9, 2018
✔ NPI 1386607356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in IL · 085.003749✔ Licensed in WI · 1748023
Definition
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2520 ELISHA AVENUE, Zion, IL 60099
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Other Names 1

Former Name (1)William Blake Kalich Pac

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WALTER STADLER MD
Internal Medicine (Hematology & Oncology)
2520 ELISHA AVENUE
ZION, IL 60099
Lake County (800) 322-9183
AMY NICOLE BONFIGLIO FNP-C
Nurse Practitioner (Family)
2520 ELISHA AVENUE
ZION, IL 60099
Lake County (800) 322-9183
DR. DELU ZHOU M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
2520 ELISHA AVENUE
ZION, IL 60099
Lake County (650) 862-0827
SHANNON GARCIA SARMIENTO FNP-BC
Nurse Practitioner (Family)
2520 ELISHA AVENUE, CANCER TREATMENT CENTERS OF AMERICA
ZION, IL 60099
Lake County (800) 322-9183
SHEN LI M.D.
Surgery
2520 ELISHA AVENUE
ZION, IL 60099
Lake County (800) 233-9183
MR. JUSTIN DARREN SMITH CSFA
Specialist/Technologist, Other (Surgical Assistant)
2520 ELISHA AVENUE
ZION, IL 60099
Lake County (847) 561-7460
DR. DAVID B STEWART SR. M.D.
Colon & Rectal Surgery
2520 ELISHA AVENUE
ZION, IL 60099
Lake County (800) 322-9183
SARAH A MOONY PA-C
Physician Assistant
2520 ELISHA AVENUE
ZION, IL 60099
Lake County (800) 322-9183

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Civiletta-kalich's NPI number?

The NPI number for William Civiletta-kalich is 1386607356. It was assigned to this individual provider in the NPPES registry on April 10, 2006. The provider is also known as William Blake Kalich Pac.

Where is William Civiletta-kalich located?

William Civiletta-kalich practices at 2520 Elisha Avenue, Zion, IL 60099. The listed phone number is (414) 325-7246.

What is William Civiletta-kalich's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for William Civiletta-kalich was last updated on October 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.