Healthcare Provider Details

I. General information

NPI: 1164434809
Provider Name (Legal Business Name): D MICHAEL KAYE MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5701 NORTH ASHLAND AVENUE SUITE 204
CHICAGO IL
60660-4014
US

IV. Provider business mailing address

5701 NORTH ASHLAND AVENUE SUITE 204
CHICAGO IL
60660-4014
US

V. Phone/Fax

Practice location:
  • Phone: 773-334-0575
  • Fax: 773-334-0665
Mailing address:
  • Phone: 773-334-0575
  • Fax: 773-334-0665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateIL

VIII. Authorized Official

Name: D MICHAEL KAYE
Title or Position: PRESIDENT
Credential: MD
Phone: 773-334-0575