Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. William Blake Civiletta-Kalich, PA

Individual provider Physician Assistant · NPI 1386607356

Mr. William Blake Civiletta-Kalich, PA is a Physician Assistant in Zion, Illinois. Licensed in Illinois and Wisconsin. Registered with an NPI since 2006.

Licensed in
IL, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2520 Elisha Ave
Zion, IL 60099
Phone: (414) 325-7246
Fax: (414) 325-3770
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.003749 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 1748023 (WI)

Record details

NPI number1386607356
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 10, 2006
Last updated in NPPESOctober 9, 2018

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