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Contact Information

KENYATTA T THOMAS
401 E. 162ND ST
SUITE 103
SOUTH HOLLAND, IL60473
 Phone: 773-819-5504
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for KENYATTA T THOMAS · (Female)

NPI # 1861049553
Status Active
Credentials
Entity Individual
Enumeration date 08/19/2019
Last updated 10/26/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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