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Contact Information

KYLEA LIESE, PHD CNM
2233 W DIVISION ST
CHICAGO, IL60622
 Phone: 312-770-2336
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for KYLEA LIESE · (Female)

NPI Number 1306106745
Status Active
Credentials PHD CNM
Entity Individual
Enumeration date 05/18/2012
Last updated 06/24/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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