Individual
MRS. KYLA LEE MASSIMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
85 WOODBURY ST, SOUTH ELGIN, IL 60177-1327
(224) 238-8252
Mailing address
85 WOODBURY ST, SOUTH ELGIN, IL 60177-1327
(224) 238-8252
(815) 604-8076
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.029912
IL
Other
Enumeration date
04/10/2024
Last updated
02/26/2026
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