NPI 1780538652

Kinship Pace of Illinois, LLC

Organisation PACE Provider Organization Chicago, IL

Practice location

Address: 6560 W Fullerton Ave STE C144, Chicago, IL 60707-3439
Phone: (754) 328-4715
Mailing address: 225 Crossways Park Dr, Woodbury, NY 11797-2083

Authorised official

Name: Amber Hulon
Title: Compliance Officer
Phone: (727) 417-5819

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

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Registry record

NPI: 1780538652
Entity type: Organization
NPI issued: 25 Feb 2026
Record last updated: 25 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.