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

Kyra Nicholson

Individual provider Surgery Physician · NPI 1255992590

Kyra Nicholson is a Surgery Physician in Chicago, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2019

Practice location Address checks out

5841 S Maryland Ave # MC6040
Chicago, IL 60637-1443
Phone: (773) 702-1000
Show map & directions

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

Additional practice locations (1)

  • 5841 S Maryland Ave # Mc1052, Chicago, IL 60637-1443 — (773) 702-6760

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 125.074986 (IL)

Record details

NPI number1255992590
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 26, 2019
Last updated in NPPESJuly 16, 2019
Mailing address180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686

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