Provider Demographics
NPI:1356956296
Name:ANDREWS, KYLE EDWARD (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KYLE
Middle Name:EDWARD
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23045 S WIRTH LN
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-8069
Mailing Address - Country:US
Mailing Address - Phone:815-210-8861
Mailing Address - Fax:
Practice Address - Street 1:1931 W CERMAK RD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608-4203
Practice Address - Country:US
Practice Address - Phone:773-847-5781
Practice Address - Fax:773-847-0754
Is Sole Proprietor?:No
Enumeration Date:2020-09-08
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.300748183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist