Look up the most recent NPI and PECOS records

Michael L Kyle

Family Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Michael L Kyle does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1578556544
Provider Type
Individual
Full Name
Kyle, Michael L
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
8/25/2005
Last Updated
12/15/2009

Contact Information

Practice Location

1100 Lake St, Oak Park, IL 60301

(708) 524-1420

Unlisted Fax

Mailing Location

172 Schiller, Elmhurst, IL 60126-2885

(630) 993-5676

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 036-096088 Illinois
Code 173000000X	Description Legal Medicine Other Service Providers	License 036096088 Illinois

Provider Identifiers

ID	Description	Issuer
ID 036096088	Description Medicaid	Issuer Unlisted Illinois

Michael L Kyle

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Palash, Michael

Liu, Lisa

Chan, Eunice

Duong, Hung

Sage, Alison Linn

Pavilonis, Dina

Weiler, Colleen M

Schattauer, Paul C

Mccammon-Chase, Nathalie D

Byrne, Allison