Individual
DR. KYLE J BEUOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1333 W BELMONT AVE STE 200, CHICAGO, IL 60657-5785
(312) 926-3627
(312) 694-1885
Mailing address
1333 W BELMONT AVE STE 200, CHICAGO, IL 60657-5785
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036165528
IL
207QA0401X
Addiction Medicine (Family Medicine) Physician
036.165528
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2020
Last updated
10/11/2025
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