Most Relevant Information
Provider Data
| NPI Number: | 1003206160 |
| Provider Name: | KYLE BOYD ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | 096002824 |
Most Important Dates
| Enumeration Date: | 01/28/2015 |
| Last Updated: | 01/28/2015 |
Provider Practice Location
326 CLAYTON AVE
HILLSIDE
IL
601621613
Practice Location Phone/Fax
| Phone: | 7086425953 |
| Fax: |
Provider Mailing Location
326 CLAYTON AVE
HILLSIDE
IL
601621613
Provider Mailing Phone/Fax
| Phone: | 7086425953 |
| Fax: |