Pilz, Kyle R.
Pilz, Kyle R. is an individual health care provider with primary practice located at 1611 W Harrison St Ste 400 , Chicago IL 60612-4861. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Pilz, Kyle R. can be contacted via phone (877) 632-6637.Contact Information
Primary practice address
1611 W Harrison St Ste 400
Chicago IL 60612-4861
Phone: (877) 632-6637
Fax: (708) 409-5179
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 085002192 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10003828A | Indiana |
Profile Details
| NPI number | 1588611834 |
|---|---|
| LBN Legal business name | Pilz, Kyle R. |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2006 |
| Last updated | Jun 16th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588611834 | NPPES |
| Illinois | Other | 209118 | MEDICARE PTAN LOCALITY 15 |
| Illinois | Other | 209119 | MEDICARE PTAN LOCALITY 15 |
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