NPI 1225498777

Kyle Coward

Practitioner Other Technician Chicago, IL

Practice location

Address: 6901 S Oglesby Ave APT 3b, Chicago, IL 60649-1827
Phone: (773) 610-0739

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence C630-5017-7015 (IL)

Other Technician, Other providers in Illinois →

Registry record

NPI: 1225498777
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Feb 2016
Record last updated: 25 Feb 2016

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.