Individual
KYLIE BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
880 W CENTRAL RD STE 7200, ARLINGTON HEIGHTS, IL 60005-2382
(847) 618-4430
(847) 618-0786
Mailing address
1040 W ADAMS ST UNIT 275, CHICAGO, IL 60607-3080
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085010668
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/20/2023
Last updated
09/17/2024
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