MEDICARE: D MICHAEL KAYE MD PC

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
1	2084P0800X	Psychiatry Physician		IL
2	2084N0400X	Neurology Physician		IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0031603133	OTHER	IL	BLUE SHIELD

General Provider Information

NPI Number	:	1164434809
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	D MICHAEL KAYE MD PC

Provider Business Mailing Address
First Line	:	5701 NORTH ASHLAND AVENUE
Second Line	:	SUITE 204
City	:	CHICAGO
State	:	IL
Zip	:	60660-4014
Country	:	US
Telephone Number	:	773-334-0575
Fax Number	:	773-334-0665

Provider Business Practice Location Address
First Line	:	5701 NORTH ASHLAND AVENUE
Second Line	:	SUITE 204
City	:	CHICAGO
State	:	IL
Zip	:	60660-4014
Country	:	US
Telephone Number	:	773-334-0575
Fax Number	:	773-334-0665

Authorized Official
Title or Position	:	PRESIDENT
Name	:	D MICHAEL KAYE
Credential	:	MD
Telephone Number	:	773-334-0575

Provider Enumeration Date	:	08/12/2006
Last Update Date	:	09/11/2025

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