Individual
DR. KAYLA MYRA ST. CLAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MBA
Contact information
Practice address
5841 S MARYLAND AVE # MC5067, CHICAGO, IL 60637-1443
(773) 702-1611
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
4301509331
MI
207ND0900X
Dermatopathology Physician
Primary
036.168346
IL
390200000X
Student in an Organized Health Care Education/Training Program
4351045539
MI
Other
Enumeration date
03/19/2019
Last updated
07/07/2024
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