Bergan, Kyle Thomas
Bergan, Kyle Thomas is an individual health care provider with primary practice located at 17960 Halsted St , Homewood IL 60430-2014. He recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Bergan, Kyle Thomas can be contacted via phone (708) 922-0911.Contact Information
Primary practice address
17960 Halsted St
Homewood IL 60430-2014
Phone: (708) 922-0911
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71011442A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209017205 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 26NJ000891500 | New Jersey |
| Nursing Service Providers / Emergency | 163WE0003X | 041389716 | Illinois |
| Nursing Service Providers / Emergency | 163WE0003X | 28268975A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4704285087 | Michigan |
| Nursing Service Providers / Registered Nurse | 163W00000X | 26NR20578200 | New Jersey |
Profile Details
| NPI number | 1114490224 |
|---|---|
| LBN Legal business name | Bergan, Kyle Thomas |
| Credentials | DNP, APRN, FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2019 |
| Last updated | Sep 25th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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