Search › Illinois › 225200000X
Kyle Shively
NPI 1710848734 · on the registry since 2025
Practice
- Address
- 1009 Highway 22 Ste 1
Fox River Grove, IL 60021 - Phone
- (847) 462-8707
- Fax
- (847) 462-9208
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-19
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