Kcmso, LLC

NPI #1538597661 in Mokena, Illinois

Provider Information

NPI Number
1538597661
Entity Type
Organization
Organization Name
Kcmso, LLC
Primary Specialty
Health Maintenance Organization
Enumeration Date
Oct 29, 2013
Last Updated
Oct 29, 2013

Practice Location

Address
8525 W 191ST ST
City
Mokena
ZIP Code
60448-8443
Phone
(877) 226-3676

Authorized Official

Name
KEVIN HNATUSKO
Title
EXECUTIVE DIRECTOR
Phone
(877) 226-3676

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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