Evans-Snulligan, Kenyatta

Evans-Snulligan, Kenyatta is an individual health care provider with primary practice located at 1100 W Cermak Rd Cuite C119, Chicago IL 60608-4500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Evans-Snulligan, Kenyatta can be contacted via phone (312) 243-2223.

Contact Information

Primary practice address
1100 W Cermak Rd Cuite C119 Chicago IL 60608-4500
Phone: (312) 243-2223
Fax: (312) 243-2227
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 041361698 Illinois

Profile Details

NPI number 1194008425
LBN Legal business name Evans-Snulligan, Kenyatta
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2011
Last updated May 18th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194008425 NPPES
Illinois Other 041361698 IL STATE LICENSE

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