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

Individual provider Prosthetics Case Management · NPI 1518599968

MS. Kenyatta Butcher, HAIRLOSSSPECIALIST is a Prosthetics Case Management in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
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Practice location Address checks out

8100 S Stony Island Ave
Chicago, IL 60617-1734
Phone: (312) 623-9966
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Specialties & licences

Prosthetics Case Management (primary) Taxonomy 1744P3200X (IL)

Record details

NPI number1518599968
Entity typeIndividual (Type 1)
GenderFemale
Credentials HAIRLOSSSPECIALIST
Sole proprietorYes
NPI enumeratedFebruary 4, 2020
Last updated in NPPESFebruary 4, 2020
Certification dateFebruary 4, 2020

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