Individual
KYLE GAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
444 SKOKIE BLVD STE 212, WILMETTE, IL 60091-3074
(847) 834-9844
Mailing address
1119 REGENCY LN, LIBERTYVILLE, IL 60048-3039
(847) 834-9844
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
208.011479
IL
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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