Individual
DR. KYLE T PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1051 W US ROUTE 6, SUITE 100, MORRIS, IL 60450-4200
(815) 942-4875
(815) 942-5046
Mailing address
725 SCHOOL ST STE A, MORRIS, IL 60450-1207
(815) 941-9124
(815) 941-4363
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006321
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016.005600
LICENSE
IL
Enumeration date
06/30/2011
Last updated
09/23/2024
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