SearchIllinois251B00000X

Kenyatta Thomas

NPI 1861049553 · on the registry since 2019 · sole proprietor

Practice

Address
401 E. 162nd St
Suite 103
South Holland, IL 60473
Phone
(773) 819-5504
Organisation at this address
Reestablishing Hope Inc
Refuge Christian Counseling
Ronald J. Waryjas, Dds, Ltd.Ar
Performance Foot And Ankle Center Llc
Healing Empowering & Learning Professionals Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
251B00000X
251B00000X
Also registered as
101YM0800X
Licence states on file
KY, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-10-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois