Bonesteel, Kyle

Bonesteel, Kyle is an individual health care provider with primary practice located at 2160 S 1St Ave (Marguire Center, Rm. 2700), Maywood IL 60153-3328. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Bonesteel, Kyle can be contacted via phone (708) 216-2662.

Contact Information

Primary practice address
2160 S 1St Ave (Marguire Center, Rm. 2700) Maywood IL 60153-3328
Phone: (708) 216-2662
Fax: (708) 216-5617
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 71006163 Illinois

Profile Details

NPI number 1194704213
LBN Legal business name Bonesteel, Kyle
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Aug 14th, 2009 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194704213 NPPES
Illinois MEDICAID 71006163

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