Liese, Kylea

Liese, Kylea is an sole proprietor health care provider with primary practice located at 2233 W Division St , Chicago IL 60622. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Liese, Kylea can be contacted via phone (312) 770-2336.

Contact Information

Primary practice address
2233 W Division St Chicago IL 60622
Phone: (312) 770-2336
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X

Profile Details

NPI number 1306106745
LBN Legal business name Liese, Kylea
Credentials PHD CNM
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2012
Last updated Jun 24th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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