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Search › Illinois › Medical Physician Assistant

Kyle Cummisford, PA-C

NPI 1548754153 · on the registry since 2018 · sole proprietor

Practice

Address
1000 N Westmoreland Rd
Lake Forest, IL 60045
Phone
(847) 234-5600
Organisation at this address
Walgreen Co
Northwestern Lake Forest Hospital
Consolidated Pathology Consultants Sc
Ec Physician And Wound Specialist Llc
Northwestern Medical Faculty Foundation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
215

Registry record

Primary taxonomy
Medical Physician Assistant
363AM0700X
Also registered as
Physician Assistant
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-05-09

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