Provider Demographics
NPI:1790659621
Name:KALEIDOSCOPE INC.
Entity type:Organization
Organization Name:KALEIDOSCOPE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ILO YOUNG ADULT CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ORANGE
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:773-292-4263
Mailing Address - Street 1:1901 W CARROLL AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-2401
Mailing Address - Country:US
Mailing Address - Phone:618-203-1597
Mailing Address - Fax:618-203-1597
Practice Address - Street 1:1901 W CARROLL AVE STE 205
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-2401
Practice Address - Country:US
Practice Address - Phone:618-203-1597
Practice Address - Fax:618-203-1597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management