Individual provider · Type 1 NPI
Kelly M. Hoyert, PA-C
Surgical Physician Assistant · Chicago, IL
NPI number
1003168378
Active
Practice location
1740 W Taylor St, 3F Occ
Chicago, IL 60612-7232
Fax (312) 413-1206
Mailing address
840 S Wood St, 435E
Chicago, IL 60612-4325
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 085004493 (IL) |
Surgical Physician Assistant: Definition to come...
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About NPI 1003168378
Kelly M. Hoyert, PA-C's National Provider Identifier is 1003168378, issued on Oct 10, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Chicago, IL. The record was last updated on Feb 11, 2015.