Kyle Corso Mork, PHARMD, MBA

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

049168241 Issued in IL

Practice address

840 S Wood St
Chicago, IL 60612-4325

Phone

(312) 996-6783

Fax

(312) 996-8525

NPI assigned

Apr 10, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1003435926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 NORTHGATE RD",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605461683",
            "telephone_number": "630-464-5349",
            "fax_number": "312-996-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 S WOOD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124325",
            "telephone_number": "312-996-6783",
            "fax_number": "312-996-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORK",
        "first_name": "KYLE",
        "middle_name": "CORSO",
        "name_prefix": "Dr.",
        "credential": "PHARMD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-10",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "IL",
            "license": "049168241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Yukiko Morita, MD
• Howard Moritz, M.D.
• Jennifer Moriuchi
• Daniel G Morjal, PSY.D, MSCP
• Nancy Mork Bakker, LCSW
• Samip Morker, DO
• Sujata A. Morker, M.D.
• Michael Morkos, MD
• Nardeen Morkos, MD
• Andrea Morley, MS, RD, LDN, CDCES

• Ambulatory Care Pharmacist in Chicago, IL
• Providers in Chicago, IL by specialty
• Ambulatory Care Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.