Cummisford, Kyle T

Cummisford, Kyle T is an sole proprietor health care provider with primary practice located at 1000 N Westmoreland Rd , Lake Forest IL 60045-1658. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Cummisford, Kyle T can be contacted via phone (847) 234-5600.

Contact Information

Primary practice address
1000 N Westmoreland Rd Lake Forest IL 60045-1658
Phone: (847) 234-5600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085006665 Illinois

Profile Details

NPI number 1548754153
LBN Legal business name Cummisford, Kyle T
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2018
Last updated May 9th, 2022 - about 3 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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