Individual
KAITLYN MYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 E 103RD ST, CHICAGO, IL 60628-2807
(773) 350-2387
Mailing address
235 E 103RD ST, CHICAGO, IL 60628-2807
(773) 350-2387
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150118679
IL
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/02/2025
Last updated
05/13/2026
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