Kyle Boudreau

NPI 1306752969 · on the registry since 2026

Practice

Address: 250 S Northwest Hwy Ste 204
Park Ridge, IL 60068
Phone: (773) 631-4112
Fax: (773) 594-2113
Organisation at this address: Illinois Bone And Joint Institute Llc
Illinois Bone And Joint Institute Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 26

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-08-21

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