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

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