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1043430812
EDWIN DEWEES KYLE
SKOKIE, IL
NPI
1043430812
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: IL 085001137)
Enumeration Date
2007-04-26
Last Update Date
2007-07-08
Business Address
Mr. EDWIN DEWEES KYLE PAC
9600 GROSS POINT ROAD RUSH NORTH SHORE MEDICAL CENTER DEPT OF SURGERY
SKOKIE, IL 60076
Phone number: 847-933-6020
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Mailing Address
Mr. EDWIN DEWEES KYLE PAC
3032 PARK PLACE
EVANSTON, IL 60201
Phone number: 224-619-2189
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