KYLE S PETERSON (NPI# 1417584541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417584541 |
| Entity Type | Individual |
| Full Name | KYLE S PETERSON |
| Credential | RN |
| Practice Address |
5700 S Maryland Ave Chicago IL 60637-1426 |
| Mailing Address |
1845 S Michigan Ave Unit 1510 Chicago IL 60616-2497 |
| Practice Telephone | 7737023222 |
| Mailing Telephone | 8152604322 |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WF0300X |
Registered Nurse Specialization: Flight |
041411744 | IL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013457191 | Kyle Peterson | Acupuncturist | 5470 Cameron Ellis Dr, Apartment 101, Westerville, OH 43081-9031 | 2017-03-08 |
| 1952709404 | Kyle Peterson | Specialist/Technologist | 1741 Dehn St, Burlington, IA 52601-2115 | 2014-12-16 |
| 1780210559 | Kyle Peterson | Social Worker | 8265 W 2700 S, Magna, UT 84044-1323 | 2020-03-12 |
| 1972078251 | Kyle Peterson | Counselor | 20 1st St Sw Ste 250, Minot, ND 58701-3851 | 2018-10-12 |
| 1417256272 | Kyle S. Peterson | Podiatrist | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2011-03-19 |
| 1285947259 | Kyle W. Peterson | Dentist | 609 22nd St, Moline, IL 61265-1450 | 2010-07-20 |
| 1922335199 | Kyle David Peterson | Emergency Medicine | 3600 Gates Blvd, Port Arthur, TX 77642-3858 | 2009-11-10 |
| 1689610818 | Kyle K Peterson | Nurse Anesthetist, Certified Registered | 8990 Springbrook Dr Nw, Coon Rapids, MN 55433-5850 | 2006-06-22 |
| Street Address |
5700 S MARYLAND AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154671071 | Alisa Kearney Heitman | Nurse Practitioner | 5700 S Maryland Ave, Chicago, IL 60637 | 2012-09-18 |
| 1235746736 | Colleen Roche | Nurse Practitioner | 5700 S Maryland Ave, Chicago, IL 60637-1426 | 2020-09-28 |
| 1164044707 | Sonam Thind | Nurse Practitioner | 5700 S Maryland Ave, Chicago, IL 60637-1426 | 2020-05-16 |
| 1740812502 | Jennifer Joan Tang | Registered Nurse | 5700 S Maryland Ave, Chicago, IL 60637-1426 | 2020-02-10 |
| 1700417631 | Joshua Stierley | Registered Nurse | 5700 S Maryland Ave, Chicago, IL 60637-1426 | 2020-01-29 |
| 1568946572 | Sarah Kosinski | Nurse Practitioner | 5700 S Maryland Ave, Chicago, IL 60637-1426 | 2018-09-17 |
| 1992287510 | Gerishma Kunwar Haman | Registered Nurse | 5700 S Maryland Ave, Chicago, IL 60637-1426 | 2018-08-30 |
| 1346730678 | Sarah Ann Day | Nurse Practitioner | 5700 S Maryland Ave, Chicago, IL 60637-1426 | 2018-05-11 |
| 1891208914 | Laura Highland Mapes | Nurse Practitioner | 5700 S Maryland Ave, Chicago, IL 60637-1426 | 2017-11-11 |
| 1639681836 | Christina Elizabeth Alexander | Nurse Practitioner | 5700 S Maryland Ave, Chicago, IL 60637-1426 | 2017-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
| Find all providers in zip 60637 | ||||
| Taxonomy Code | 163WF0300X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Flight |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407402258 | Joshua Childress | Registered Nurse | 1 Phipps Ln, Paris, IL 61944-2919 | 2019-08-16 |
| 1396219176 | Mohammad Jamal Deen | Registered Nurse | 3249 Oak Park Ave, Berwyn, IL 60402-3429 | 2019-01-15 |
Please comment or provide details below to improve the information on KYLE S PETERSON.
| 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.