Individual
KELLY M HOYERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1740 W TAYLOR ST, 3F OCC, CHICAGO, IL 60612-7232
(312) 355-4300
(312) 413-1206
Mailing address
840 S WOOD ST, 435E, CHICAGO, IL 60612-4325
(312) 355-1493
(312) 355-1987
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085004493
IL
Other
Enumeration date
10/10/2012
Last updated
02/11/2015
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