Smith, Kyla Nichelle

Smith, Kyla Nichelle is an individual health care provider with primary practice located at 3059 W 26Th St , Chicago IL 60623. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Smith, Kyla Nichelle can be contacted via phone (773) 584-6200.

Contact Information

Primary practice address
3059 W 26Th St Chicago IL 60623
Phone: (773) 584-6200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 036-128969 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-128969 Illinois

Profile Details

NPI number 1316075559
LBN Legal business name Smith, Kyla Nichelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Sep 29th, 2020 - about 5 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 1316075559 NPPES
Illinois MEDICAID 036.128969

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