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Search › Illinois › 103TC0700X

Kyle Jennette, PH.D

NPI 1083354641 · on the registry since 2022

Practice

Address
912 S Wood St
Chicago, IL 60612
Phone
(312) 996-0123
Organisation at this address
University Of Illinois At Chicago
Board Of Trustees Of The University Of Illinois
The Board Of Trustees Of The University Of Illinois
The Board Of Trustees Of The University Of Illinois
The Board Of Trustees Of The University Of Illinois
Inferred from a shared address, not stated in the registry.
Clinicians at this address
102

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
103G00000X
103T00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-05-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois