NPI 1265032288

Kyle Heraty

Practitioner Genetic Counselor (M.S.) Park Ridge, IL

Practice location

Address: 1875 Dempster St STE 285, Park Ridge, IL 60068-1157
Phone: (847) 723-7705
Fax: (847) 723-7705

Registered specialties

Genetic Counselor (M.S.) Primary

Other Service Providers Taxonomy 170300000X

Other Genetic Counselor, MS providers in Illinois →

Registry record

NPI: 1265032288
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Oct 2020
Record last updated: 28 Oct 2020

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.