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NPISignal

Individual Healthcare Provider

Kylie Clevenger, PA

NPI Record: ActiveUrology — Urogynecology and Reconstructive Pelvic Surgery
NPI1295645372
Oak Lawn, Illinois

Provider's NPPES record last updated: September 10, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1295645372
Primary Specialty
Urology — Urogynecology and Reconstructive Pelvic Surgery
Practice Location
Oak Lawn, Illinois
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 1:01 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Urology

    Urogynecology and Reconstructive Pelvic Surgery

    Allopathic & Osteopathic Physicians

    Primary

    A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

    Taxonomy code 2088F0040X

Provider-Reported License Information

Urology (Illinois)
085012406
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

5851 W 95th St Ste 300

Oak Lawn, Illinois 60453-2415

Phone: (708) 499-9800

Additional Practice Location

2425 W 22nd St Ste 210

Oak Brook, Illinois 60523-4656

Phone: (708) 499-9800

Additional Practice Location

10762 W 167th St

Orland Park, Illinois 60467-5434

Phone: (708) 499-9800

Record Information

Enumeration Date
September 10, 2026
Provider's NPPES Record Last Updated
September 10, 2026
Certification Date
September 10, 2026
NPISignal NPPES Dataset
August 2026

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