Active NPI
Kyte River Emergency Physicians PLLC
- Emergency Medicine Physician
- Macomb, IL
National Provider Identifier
1063751188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- KYTE RIVER EMERGENCY PHYSICIANS PLLC
- Practice address
- 525 E Grant St
Macomb, IL 61455-3313 - Phone
- (954) 939-5000
- NPI assigned
- Feb 8, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Kennedy
- Title
- Authorized Official
- Phone
- (207) 807-9009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
525 E Grant St
Macomb, IL 61455-3313
Mailing address
PO Box 37918
Philadelphia, PA 19101-0515
Phone (954) 939-5000
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762300800000",
"number": "1063751188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37918",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191010515",
"telephone_number": "954-939-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 E GRANT ST",
"city": "MACOMB",
"state": "IL",
"postal_code": "614553313",
"telephone_number": "954-939-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KYTE RIVER EMERGENCY PHYSICIANS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-08",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A",
"authorized_official_last_name": "KENNEDY",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "207-807-9009"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macomb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.