Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kyle S. Peterson, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1417256272

Dr. Kyle S. Peterson, DPM is a Podiatry in Bartlett, Illinois. Qualified in 2010, 16 years ago. Practices with Suburban Orthopaedics Ltd, a 19-clinician group and accepts Medicare assignment. Licensed in Illinois, Ohio and Pennsylvania.

Years since qualifying
16
Licensed in
IL, OH, PA
In the registry since
2011
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1110 W Schick Rd
Bartlett, IL 60103-3007
Phone: (630) 372-1100
Fax: (630) 483-0852
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 016005623 (IL)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence SC006240 (PA)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 36003642 (OH)

Record details

NPI number1417256272
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 19, 2011
Last updated in NPPESNovember 4, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Suburban Orthopaedics Ltd — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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