Kyle, Michael L

Kyle, Michael L is an individual health care provider with primary practice located at 1100 Lake St , Oak Park IL 60301. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Kyle, Michael L can be contacted via phone (708) 524-1420.

Contact Information

Primary practice address
1100 Lake St Oak Park IL 60301
Phone: (708) 524-1420
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 036096088 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-096088 Illinois

Profile Details

NPI number 1578556544
LBN Legal business name Kyle, Michael L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Dec 15th, 2009 - about 15 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 1578556544 NPPES
Illinois MEDICAID 036096088

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