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NPI Profile for KYLE C BLAIR in DES PLAINES, IL.
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Retina Specialist |
207WX0107X | 18 | Physician/Ophthalmology | |
Ophthalmology |
207W00000X | 18 | Physician/Ophthalmology | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI # | 1699121194 |
|
| Status | Active | |
| Credentials | DO (Doctor of Osteopathic) | |
| Entity | Individual | |
| Enumeration date | 05/13/2016 | |
| Last updated | 07/26/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KYLE C BLAIR
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KYLE C BLAIR, DO