Kylie Clevenger, PA

Primary specialty

Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianTaxonomy code 2088F0040X

License

085012406 Issued in IL

Practice address

5851 W 95TH St Ste 300
Oak Lawn, IL 60453-2415

Phone

(708) 499-9800

Fax

(708) 499-6203

NPI assigned

Sep 10, 2026

Sex

Female

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

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1295645372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 W 95TH ST STE 300",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532415",
            "telephone_number": "708-499-9800",
            "fax_number": "708-499-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 W 95TH ST STE 300",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532415",
            "telephone_number": "708-499-9800",
            "fax_number": "708-499-6203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2425 W 22nd St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Oak Brook",
            "state": "IL",
            "postal_code": "605234656",
            "country_code": "US",
            "telephone_number": "708-499-9800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10762 W 167th St",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604675434",
            "country_code": "US",
            "telephone_number": "708-499-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEVENGER",
        "first_name": "KYLIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088F0040X",
            "taxonomy_group": "",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "IL",
            "license": "085012406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.