MS. KENYATTA BUTCHER (NPI# 1518599968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518599968 |
| Entity Type | Individual |
| Full Name | MS. KENYATTA BUTCHER |
| Credential | HAIR LOSS SPECIALIST |
| Practice Address |
8100 S Stony Island Ave Chicago IL 60617-1734 |
| Mailing Address |
5225 N Kenmore Ave Chicago IL 60640-2445 |
| Practice Telephone | 3126239966 |
| Mailing Telephone | 7739318963 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
IL | Other Service Providers |
| Street Address |
8100 S STONY ISLAND AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60617-1734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053549402 | Crowning Glory Lace Wigs | Durable Medical Equipment & Medical Supplies | 8100 S Stony Island Ave, Unit F, Chicago, IL 60617-1734 | 2009-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102921 | Manuel Lule | Physical Therapy Assistant | 9535 S Jeffery Boulevard, Chicago, IL 60617 | 2020-07-24 |
| 1083253546 | Vanaja Thotten | Internal Medicine | 8012 S.crandon Ave, Chicago, IL 60617 | 2020-01-02 |
| 1427527365 | Stony Island Dental PC | Dentist | 1600 E 93rd Street, Chicago, IL 60617 | 2018-11-21 |
| 1871060301 | Tamika Nicole Whitehead | Social Worker | 2822 East 83rd Street, Chicago, IL 60617 | 2018-11-02 |
| 1528543774 | Felicia Nwankwo | Nurse Practitioner | 2822 E 83rd Street Bradond Famiy Health Cener, Chicago, IL 60617 | 2018-10-03 |
| 1972099307 | David Phan | Optometrist | 1753 E 95th St Ste B-100, Chicago, IL 60617 | 2018-07-09 |
| 1831607340 | Pamela Evette Ewing | Counselor | 9145 S. Merrill Ave, Chicago, IL 60617 | 2018-01-18 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1447784921 | 1915-25 95th St., LLC | Clinic/Center | 1915 E 95th St, Chicago, IL 60617 | 2017-04-12 |
| 1881140408 | Yeferson Laverde | Social Worker | 3062 East 31st, Chicago, IL 60617 | 2016-09-01 |
| Find all providers in zip 60617 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164034633 | Michelle Coburn | Specialist | 8327 S Loomis Blvd, Chicago, IL 60620-3958 | 2020-08-17 |
| 1730644568 | Ashley Nicole Morgan | Specialist | 7732 S Evans Ave, Chicago, IL 60619-2909 | 2019-02-06 |
| 1326523192 | Frances Simmons-ellis | Specialist | 3441 W Chicago Ave, Chicago, IL 60651-4033 | 2018-09-27 |
| 1780178780 | Andre Beans | Specialist | 68 E 21st St, Chicago, IL 60616-1730 | 2018-06-21 |
| 1437691953 | Jamila Jones | Specialist | 7845 S Cornell Ave, Chicago, IL 60649-4907 | 2016-11-15 |
| 1326580325 | Richelle Williams | Specialist | 16 N Morgan St, Chicago, IL 60607-2612 | 2016-11-08 |
| 1083076699 | Lashawn Jones | Specialist | 2038 W. Division St, Chicago, IL 60622 | 2016-03-23 |
| 1275936494 | Shavonne Sahara | Specialist | 600 W Englewood Ave, Chicago, IL 60621-2053 | 2014-10-01 |
| 1366941767 | Answers 2 Hairloss | Specialist | 2600 S Michigan Ave Ste 314, Chicago, IL 60616-2860 | 2018-02-12 |
| 1912413808 | Melvina Cox | Specialist | 2600 S Michigan Ave Ste 314, Chicago, IL 60616-2860 | 2017-12-14 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.