IndividualActive
Kyle Peterson, RN
NPI 1417584541 · Flight Registered Nurse · Chicago, IL
Provider details
- NPI number
- 1417584541
- Entity type
- Individual
- Primary specialty
- Flight Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- 041411744 (IL)
Specialties & taxonomies
Nursing Service Providers
Practice location
5700 S Maryland Ave
Chicago, IL 60637-1426
Phone: (773) 702-3222
Approximate (ZIP-level) locationGet directions
Mailing address
1845 S Michigan Ave Unit 1510
Chicago, IL 60616-2497
Registry dates
- Enumerated
- 2020-03-26
- Last updated
- 2020-04-10
- Certified
- 2020-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.