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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

NPI Number 1861049553
Entity Organization
Organization subpart 1 Not specified
Enumeration date 08/19/2019
Last updated 10/26/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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