Individual
MRS. KYLA LYNN MUSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2525 S MICHIGAN AVE STE 12, CHICAGO, IL 60616-2315
(312) 567-2380
(312) 328-7739
Mailing address
35318 EAGLE WAY, CHICAGO, IL 60678-0353
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209017088
IL
363LF0000X
Family Nurse Practitioner
209.015366
IL
Other
Enumeration date
01/11/2018
Last updated
03/16/2021
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