NPI 1003168378

Kelly M Hoyert, PAC

Practitioner Surgical Physician Assistant Chicago, IL

Practice location

Address: 1740 W Taylor St 3f Occ, Chicago, IL 60612-7232
Phone: (312) 355-4300
Fax: (312) 413-1206
Mailing address: 840 S Wood St 435e, Chicago, IL 60612-4325

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 085004493 (IL)

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Registry record

NPI: 1003168378
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Oct 2012
Record last updated: 11 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.