Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kyle Kallenbach, MD

Individual provider Diagnostic Radiology Physician · NPI 1477529626

Kyle Kallenbach, MD practises Diagnostic Radiology in Glen Ellyn, Illinois. Graduated from Rush Medical College of Rush University in 1996, 30 years ago. Practices with The South Bend Clinic LLC, a 170-clinician group. Licensed in Illinois.

Years since qualifying
30
Trained at
Rush Medical College of Rush University
Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

430 Pennsylvania Ave
Glen Ellyn, IL 60137-4464
Phone: (630) 469-9200
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 036105204 (IL)

Record details

NPI number1477529626
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 27, 2006
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 1996 (30 years in practice)
Group practice The South Bend Clinic Llc — 170 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients1,945
Services billed 23,814 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at The South Bend Clinic LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 170 clinicians in the practice; 12 are shown here.

Other providers in Glen Ellyn