Tharps, Kawana Fantasia

Tharps, Kawana Fantasia is an sole proprietor health care provider with primary practice located at 4747 N Kedzie Ave , Chicago IL 60625-4420. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Neonatal Intensive Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Tharps, Kawana Fantasia can be contacted via phone (312) 666-3494.

Contact Information

Primary practice address
4747 N Kedzie Ave Chicago IL 60625-4420
Phone: (312) 666-3494
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Neonatal Intensive Care 163WN0002X 041436212 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209024591 Illinois

Profile Details

NPI number 1154949857
LBN Legal business name Tharps, Kawana Fantasia
Credentials DNP, APRN, FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2020
Last updated Aug 23rd, 2022 - about 2 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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