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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KYLE T CUMMISFORD, PA-C

Active Sole Proprietor

KYLE T CUMMISFORD, PA-C is a Medical Physician Assistant healthcare provider located in LAKE FOREST, Illinois. NPI 1548754153 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · LAKE FOREST, IL

Registration Details

NPI Number
1548754153
Provider Type
Individual
Gender
Male
NPI Issued
Jun 18, 2018 (8.1765923430902 yrs)
Last Updated
May 9, 2022
License
085006665 (IL)
Sole Proprietor
Yes

Practice Information

Address
1000 N WESTMORELAND RD
LAKE FOREST, IL, 600451658
Browse IL providers · Browse ZIP 60045
Phone
8472345600
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in LAKE FOREST, IL

Name Credential NPI
MRS. REBECCA GAMBLE HOUGLUM P.A. 1245328582
KATIE R SPRINGER PA-C 1467648683
KELSEY GRIMMER PA 1265695530
THOMAS TODD DEVRIES PA-C 1912247008
MISS KATHERINE LYNN VOIGT PA-C 1184047847
MS. GIANNA RONDINELLA PA-C 1750763801
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.