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NPI Code Detail

MEDICARE: DR. BENJAMIN KYI DO

MEDICARE: DR. BENJAMIN KYI DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician036159280IL

General Provider Information

NPI Number : 1275094898
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BENJAMIN KYI DO
Provider Business Mailing Address
First Line : 2650 RIDGE AVE STE 1223
Second Line :
City : EVANSTON
State : IL
Zip : 60201-1700
Country : US
Telephone Number : 847-570-2054
Fax Number :
Provider Business Practice Location Address
First Line : 1435 WAUKEGAN RD
Second Line :
City : GLENVIEW
State : IL
Zip : 60025-2120
Country : US
Telephone Number : 847-832-6500
Fax Number : 847-832-6040
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2019
Last Update Date : 05/29/2026

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Directions to “ DR. BENJAMIN KYI DO” Practice Location

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