Individual
DR. TYLER QUENTIN KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7427 LAKE ST, RIVER FOREST, IL 60305-1817
(708) 771-3334
(708) 771-9614
Mailing address
7427 LAKE ST, RIVER FOREST, IL 60305-1817
(708) 771-3334
(708) 771-9614
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036.129789
IL
207W00000X
Ophthalmology Physician
T-1999
MS
Other
Enumeration date
07/11/2007
Last updated
04/04/2023
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