Ifetayo Kitwana
Counselor (Professional)

Address: 1706 E 84th Pl, Chicago, IL 60617-2201
Phone: 7739363498

Ifetayo Kitwana (NPI# 1639715279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1639715279
Entity Type Individual
Full Name Ifetayo Kitwana
Gender Female
Practice Address 1706 E 84th Pl
Chicago
IL 60617-2201
Practice Telephone 7739363498
Mailing Address 1507 E 53rd St # 813
Chicago
IL 60615-4573
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2019-11-19
Last Update Date 2019-11-19

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 101YP2500X Counselor · Professional Behavioral Health & Social Service Providers 180.011630 IL

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Office Location

Street Address 1706 E 84TH PL
City CHICAGO
State IL
Zip Code 60617-2201

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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Competitor

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City CHICAGO
Zip Code 60617

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Dataset Information

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.

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