Individual
KAYLA CHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
701 N 1ST ST STE D-319, SPRINGFIELD, IL 62702-3757
(217) 545-9752
Mailing address
PO BOX 19638, SPRINGFIELD, IL 62794-9638
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
125078004
IL
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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