Kyle Boyd, ATC
Individual provider Active NPI Athletic Trainer · Hillside, IL
NPI 1003206160 · NPPES record last updated Jan 28, 2015
Key facts
- NPI
- 1003206160
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 096002824 (IL)
- Practice address
- 326 Clayton Ave
Hillside, IL 60162-1613 - Phone
- (708) 642-5953
- NPI assigned
- Jan 28, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096002824 | IL | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 096002824 | IL | Yes |
Addresses
Primary practice location
326 Clayton Ave
Hillside, IL 60162-1613
Mailing address
326 Clayton Ave
Hillside, IL 60162-1613
Phone (708) 642-5953
Other providers in Hillside, IL
- Samir Bhalla
- Bhallamd, LLC
- Kristina Bogoevski
- Kimberly Grace Bokowski
- Ann-Preston Bosher
- Quiana Braden
- Erin Marie Brophy
- Cahill Diagnostic Imaging, Inc
- Samson Keefe Cahill
- Rachel Cantrell
All providers in Hillside, IL · Athletic Trainer in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.