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Individual

DR. MICHAEL L KYLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 LAKE ST, OAK PARK, IL 60301
(708) 524-1420
Mailing address
172 SCHILLER, ELMHURST, IL 60126-2885
(630) 993-5676

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
036096088
IL
207Q00000X
Family Medicine Physician
Primary
036-096088
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036096088
IL
Enumeration date
08/25/2005
Last updated
12/15/2009
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