IndividualActive
Kyle Wilm
NPI 1720672595 · Electroneurodiagnostic Specialist/Technologist · New Buffalo, MI
Provider details
- NPI number
- 1720672595
- Entity type
- Individual
- Primary specialty
- Electroneurodiagnostic Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1 Pond Path
New Buffalo, MI 49117-2019
Phone: (630) 642-4771
Street-level locationGet directions
Mailing address
1 Pond Path
New Buffalo, MI 49117-2019
Registry dates
- Enumerated
- 2021-02-23
- Last updated
- 2021-02-23
- Certified
- 2021-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.