Individual
KENZO SHIBATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
333 N MICHIGAN AVE STE 704, CHICAGO, IL 60601-3905
(312) 715-8234
Mailing address
4726 N WINCHESTER AVE APT E, CHICAGO, IL 60640-4353
(312) 823-0045
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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