NPI 1124586078

Kaiisha Dear Sweet

Practitioner Prosthetist Evergreen Park, IL

Practice location

Address: 3408 W 95th St, Evergreen Park, IL 60805-2204
Phone: (312) 504-1253
Mailing address: 11302 S Union Ave, Chicago, IL 60628-4726

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1124586078
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Mar 2019
Record last updated: 11 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.