Kaiisha Dear Sweet
Prosthetist
3408 W 95th St
Evergreen Park
, Illinois 60805-2204
Kaiisha Dear Sweet
Prosthetist
3408 W 95th St
Evergreen Park
, Illinois 60805-2204
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About
Features
Specialties
- Prosthetist
Languages spoken
- English
Location
First Address
- Kaiisha Dear Sweet
- 11302 S Union Ave
- Chicago, IL
- Zip : 60628-4726
- Phone :
Second Address
- Kaiisha Dear Sweet
- 3408 W 95th St
- Evergreen Park, IL
- Zip : 60805-2204
- Phone : (312) 504-1253
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | IL |
National Provider Identifier
| NPI | 1124586078 |
|---|---|
| Provider Name | Kaiisha Dear Sweet |
| First Address | Chicago, IL 60628-4726 |
| Second Address | Evergreen Park, IL 60805-2204 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/03/2019 |
| Last Update Date | 11/03/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.