Kamba, Kathleen Marie
Kamba, Kathleen Marie is an sole proprietor health care provider with primary practice located at 4440 W 95Th St Ste 6409 , Oak Lawn IL 60453-2600. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kamba, Kathleen Marie can be contacted via phone (877) 684-4327.Contact Information
Primary practice address
4440 W 95Th St Ste 6409
Oak Lawn IL 60453-2600
Phone: (877) 684-4327
Fax: (708) 520-1875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209.013207 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 277-001221 | Illinois |
Profile Details
| NPI number | 1700254703 |
|---|---|
| LBN Legal business name | Kamba, Kathleen Marie |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 8th, 2015 |
| Last updated | Jun 24th, 2026 - about 5 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700254703 | NPPES |
| Illinois | MEDICAID | 1700254703 |
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