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Contact Information

KYLE BERSTED, PhD
1653 W CONGRESS PKWY
CHICAGO, IL60612-3833
 Phone: 312-563-1466
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KYLE BERSTED · (Male)

NPI # 1376996991
Status Active
Credentials PhD
Entity Individual
Enumeration date 07/19/2016
Last updated 12/07/2022 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 071009860
  • MO License # 2017002001
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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