Individual provider · Type 1 NPI

Kyle T. Cummisford, PA-C

Medical Physician Assistant · Lake Forest, IL

NPI number 1548754153 Active

Practice location

1000 N Westmoreland Rd
Lake Forest, IL 60045-1658

Call (847) 234-5600 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700X085006665 (IL)

Medical Physician Assistant: Definition to come...

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About NPI 1548754153

Kyle T. Cummisford, PA-C's National Provider Identifier is 1548754153, issued on Jun 18, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lake Forest, IL. The record was last updated on May 9, 2022.