Individual
KAMILAH BANKS WORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 W 155TH ST, HARVEY, IL 60426-3556
(708) 596-5177
(708) 596-5518
Mailing address
31 W 155TH ST, HARVEY, IL 60426-3556
(708) 596-5177
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1720405129
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36142489
—
IL
Enumeration date
03/24/2014
Last updated
06/10/2022
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