Individual provider · Type 1 NPI

Kayla Antle, PA-C

Surgical Physician Assistant · Oak Lawn, IL

NPI number 1245753417 Active

Practice location

4440 W 95th St
Oak Lawn, IL 60453-2600

Call (708) 684-8000 Map

Mailing address

29373 Network Pl
Chicago, IL 60673-2944

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X085-006260 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1245753417

Kayla Antle, PA-C's National Provider Identifier is 1245753417, issued on Jul 19, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Oak Lawn, IL. The record was last updated on Jun 22, 2023.