SearchIllinois343900000X

Kyle Blakely

NPI 1316572365 · on the registry since 2020 · sole proprietor

Practice

Address
6036 S Green St Apt 2
Chicago, IL 60621
Phone
(312) 278-7494

Additional practice sites

  • 1200 W 35th St Ste 309, Chicago, IL

Registry record

Primary taxonomy
343900000X
343900000X
Sex
Male
Record last updated
2020-03-10

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