Individual
KENYATTA EVANS-SNULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1100 W CERMAK RD, CUITE C119, CHICAGO, IL 60608-4500
(312) 243-2223
(312) 243-2227
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
041361698
IL
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
209-008944
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041361698
IL STATE LICENSE
IL
Enumeration date
09/22/2011
Last updated
02/28/2025
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