Individual
DR. KYLA NICHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7110 W 127TH ST STE 130, PALOS HEIGHTS, IL 60463-1579
(708) 923-6300
(708) 923-6303
Mailing address
7110 W 127TH ST STE 130, PALOS HEIGHTS, IL 60463-1579
(708) 923-6300
(708) 923-6303
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-128969
IL
2080A0000X
Pediatric Adolescent Medicine Physician
036-128969
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036.128969
—
IL
Enumeration date
03/01/2007
Last updated
05/19/2026
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