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

Kyle Shively

Individual provider Physical Therapy Assistant · NPI 1710848734

Kyle Shively is a Physical Therapy Assistant in Fox River Grove, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

1009 Highway 22 Ste 1
Fox River Grove, IL 60021-1998
Phone: (847) 462-8707
Fax: (847) 462-9208
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160-009371 (IL)

Record details

NPI number1710848734
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 19, 2025
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025
Mailing address900 Rand Rd Ste 300, Des Plaines, IL 60016-2359

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