KYLE MARCUS THORSON (NPI# 1013442045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013442045 |
| Entity Type | Individual |
| Full Name | KYLE MARCUS THORSON |
| Practice Address |
267 South Chestnut St Apt 3 Chebanse IL 60922 |
| Practice Telephone | 8153251503 |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
267 SOUTH CHESTNUT ST APT 3 |
| City | CHEBANSE |
| State | IL |
| Zip Code | 60922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215306717 | Amy Stevenson | Sleep Specialist, PhD | 314 Oak Street, Chebanse, IL 60922 | 2015-09-15 |
| 1225174733 | Otto Township Fire Protection Dist | Ambulance | 101 S Chestnut Street, Chebanse, IL 60922 | 2007-01-30 |
| 1154371193 | Rajendra Pennepalli | Internal Medicine | 125 W 1st North St, Chebanse, IL 60922 | 2006-05-11 |
| 1326557547 | April Lynn Peters | Speech-Language Pathologist | 475 School St, Chebanse, IL 60922-2026 | 2017-09-20 |
| 1750930756 | Tahlia Guimond | Speech-Language Pathologist | 3265 N 1200 East Rd, Chebanse, IL 60922-8101 | 2019-09-11 |
| 1174733471 | Cynthia Lyn Mallard | Developmental Therapist | 279 N Locust St, Chebanse, IL 60922-9778 | 2007-05-23 |
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720436 | April Renee Gallik | Student in an Organized Health Care Education/Training Program | 8807 S 79th Ave Apt 18, Hickory Hills, IL 60457-1597 | 2020-11-03 |
| 1932709706 | Samantha Klosak | Student in an Organized Health Care Education/Training Program | 8144 Old Mill Rd, Frankfort, IL 60423-8675 | 2020-10-29 |
| 1508466624 | Carly Belle Mitchell | Student in an Organized Health Care Education/Training Program | 870 Appletree Ct, Northbrook, IL 60062-3402 | 2020-10-28 |
| 1144829813 | Payton Collins | Student in an Organized Health Care Education/Training Program | 5103 S Brookstone Dr, Rochelle, IL 61068-9131 | 2020-10-22 |
| 1821697830 | Mayuri Prashant Shende | Student in an Organized Health Care Education/Training Program | 2160 S. First Ave., Bldg. 105, Suite 2840a, Marywood, IL 60135 | 2020-10-21 |
| 1922607001 | Katherine Chen | Student in an Organized Health Care Education/Training Program | 2305 Mohawk Ln, Glenview, IL 60026-1035 | 2020-10-20 |
| 1922606995 | Cassia Yuechun Weigel | Student in an Organized Health Care Education/Training Program | 601 N Main St Apt 5s, Normal, IL 61761-1576 | 2020-10-13 |
| 1679171888 | Manuel J Ramirez | Student in an Organized Health Care Education/Training Program | 714 W Woodland Rd, Lake Bluff, IL 60044-1652 | 2020-10-12 |
| 1205443975 | Nickolas Armstrong | Student in an Organized Health Care Education/Training Program | 2828 N Pine Grove Ave Apt 618, Chicago, IL 60657-6137 | 2020-09-28 |
| 1871109496 | Morgan Elizabeth Westjohn | Student in an Organized Health Care Education/Training Program | 111 Mound St, Sainte Marie, IL 62459 | 2020-09-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.