Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenzo Shibata

Individual provider Social Worker · NPI 1043002579

Kenzo Shibata is a Social Worker in Chicago, Illinois. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

333 N Michigan Ave Ste 704
Chicago, IL 60601-3905
Phone: (312) 715-8234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1043002579
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 20, 2025
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025
Mailing address4726 N Winchester Ave Apt E, Chicago, IL 60640-4353

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