Individual provider · Type 1 NPI

Edwin Dewees Kyle Iii, PAC

Surgical Physician Assistant · Skokie, IL

NPI number 1043430812 Active

Practice location

9600 Gross Point Road, Rush North Shore Medical Center Dept Of Surgery
Skokie, IL 60076

Call (847) 933-6020 Map

Mailing address

3032 Park Place
Evanston, IL 60201

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1043430812

Edwin Dewees Kyle Iii, PAC's National Provider Identifier is 1043430812, issued on Apr 26, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Skokie, IL. The record was last updated on Jul 8, 2007.