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1053778464
KYLE WOODWORTH
CHICAGO, IL
NPI
1053778464
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085.005756)
Enumeration Date
2016-01-15
Last Update Date
2016-01-15
Business Address
Mr. KYLE WOODWORTH MPAS, PA-C
251 E HURON ST
CHICAGO, IL 60611-2908
Phone number: 312-926-4424
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Mailing Address
Mr. KYLE WOODWORTH MPAS, PA-C
251 E HURON ST
CHICAGO, IL 60611-2908
Phone number: 312-926-4424
Copy
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