1841908720 NPI number — PARFAIT KARKA KANAM

Table of content: LLAIMARYS HILDA VERDECIA GARCIA (NPI 1043922875)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841908720 NPI number — PARFAIT KARKA KANAM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KANAM
Provider First Name:
PARFAIT
Provider Middle Name:
KARKA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841908720
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/19/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5240 GALITZ ST APT 102
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SKOKIE
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60077-2740
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
224-730-8560
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
444 GREEN BAY RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KENILWORTH
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60043-1001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
847-853-0234
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/09/2022

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  180.014787 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)