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NPI Code Detail

MEDICARE: MATTHEW KYLE HOELSCHER

MEDICARE: MATTHEW KYLE HOELSCHER
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
1390200000XStudent in an Organized Health Care Education/Training ProgramIL

General Provider Information

NPI Number : 1598609372
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW KYLE HOELSCHER
Provider Business Mailing Address
First Line : 815 MAIN ST STE C
Second Line :
City : PEORIA
State : IL
Zip : 61602-1080
Country : US
Telephone Number : 309-672-4977
Fax Number :
Provider Business Practice Location Address
First Line : 815 MAIN ST STE C
Second Line :
City : PEORIA
State : IL
Zip : 61602-1080
Country : US
Telephone Number : 309-672-4986
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2026
Last Update Date : 04/22/2026

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Directions to “ MATTHEW KYLE HOELSCHER ” Practice Location

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