Individual
MR. EDWIN DEWEES KYLE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
9600 GROSS POINT ROAD, RUSH NORTH SHORE MEDICAL CENTER DEPT OF SURGERY, SKOKIE, IL 60076
(847) 933-6020
Mailing address
3032 PARK PLACE, EVANSTON, IL 60201
(224) 619-2189
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
IL
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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