Individual
MR. KYLE T AMBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3249 S. OAK PARK AVENUE, BERWYN, IL 60402
(708) 783-3403
Mailing address
808 S WOOD ST RM 380, CHICAGO, IL 60612-7300
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036145831
IL
207N00000X
Dermatology Physician
142376
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2014
Last updated
04/30/2018
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