Mack, Kylie L

Mack, Kylie L is an individual health care provider with primary practice located at 351 Delnor Dr #100 , Geneva IL 60134. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Mack, Kylie L can be contacted via phone (630) 262-1001.

Contact Information

Primary practice address
351 Delnor Dr #100 Geneva IL 60134
Phone: (630) 262-1001
Fax: (630) 262-8065
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085004411 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085.004411 Illinois

Profile Details

NPI number 1467705392
LBN Legal business name Mack, Kylie L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2012
Last updated Feb 19th, 2019 - about 7 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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