Individual
KYLE ANDERSON TURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1530 S STATE ST, CHICAGO, IL 60605-2964
(812) 243-9518
Mailing address
1530 S STATE ST, CHICAGO, IL 60605-2964
(812) 243-9518
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02004213A
IN
208M00000X
Hospitalist Physician
Primary
02004213A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001167614
ANTHEM
—
01
—
12530556
CAQH
—
Enumeration date
04/08/2010
Last updated
05/14/2024
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