Provider Demographics
NPI:1558788430
Name:REYNOLDS, KYLE ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:KYLE
Middle Name:ELIZABETH
Last Name:REYNOLDS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KYLE
Other - Middle Name:ELIZABETH
Other - Last Name:HORST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:30 N MICHIGAN AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-4495
Mailing Address - Country:US
Mailing Address - Phone:312-558-6481
Mailing Address - Fax:312-762-3919
Practice Address - Street 1:30 N MICHIGAN AVE STE 300
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602
Practice Address - Country:US
Practice Address - Phone:312-558-6481
Practice Address - Fax:312-762-3919
Is Sole Proprietor?:No
Enumeration Date:2014-03-28
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.146279207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology