Jamelie Kathleen Ford III
Individual provider Active NPI Case Manager/Care Coordinator · Summit, IL
NPI 1487779690 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487779690
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 7424 Archer Ave
Summit, IL 60501-1279 - Phone
- (708) 458-8228
- Fax
- (708) 458-9177
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
7424 Archer Ave
Summit, IL 60501-1279
Mailing address
16 163Rd PL
Calumet City, IL 60409-6002
Phone (708) 933-0724
Other providers in Summit, IL
- Elise Christine Drejas
- Zane Elgogari
- Crystal Epps
- Family Chiropractic Care,S.C.
- Edward Finn
- Fresenius Medical Care Summit, LLC
- Mark James Gagnon
- Ursula Garcia
- Andy Gripp
- Guidance Plus Counseling
All providers in Summit, IL · Case Manager/Care Coordinator in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.