Organization
KYLE CHILDERS SPECIALTY PARTNERS OF ILLINOIS, PLLC
Active
Organization
KYLE CHILDERS SPECIALTY PARTNERS OF ILLINOIS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL RICHARDSON (DIRECTOR OF REVENUE CYCLE)
(214) 934-7995
Entity
Organization
Contact information
Practice address
201 W WASHINGTON ST, BENTON, IL 62812-1382
(618) 438-2815
Mailing address
820 W 42ND ST STE 2300, SCOTTSBLUFF, NE 69361-5016
(308) 260-0241
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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