Provider Demographics
NPI:1194475665
Name:KYHL, KAELIN (DO)
Entity type:Individual
Prefix:
First Name:KAELIN
Middle Name:
Last Name:KYHL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:KAELIN
Other - Middle Name:ALISE
Other - Last Name:KYHL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:2650 RIDGE AVE STE 1223
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-1700
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:847-723-9470
Practice Address - Street 1:801 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-7430
Practice Address - Country:US
Practice Address - Phone:630-527-5197
Practice Address - Fax:847-723-9470
Is Sole Proprietor?:No
Enumeration Date:2022-03-26
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036172683208M00000X
IL125.080506208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist