MAURICE PUOMAAYE KONTA
NPI 1851143135
Registered Nurse - Administrator in Chicago, IL
Active since April 02, 2024
About Maurice Puomaaye Konta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAURICE PUOMAAYE KONTA (NPI 1851143135) is an individual administrator provider in Chicago, Illinois, licensed in Illinois (041399052) and active in the NPI registry since April 2024.
NPPES Registry Identity
NPI1851143135
Entity TypeIndividualMale
Primary Taxonomy163WA2000X
Provider Legal NameMAURICE PUOMAAYE KONTA
Location Address7220 S SOUTH SHORE DR APT 406Chicago, IL 60649-2751
Mailing Address7220 S South Shore Dr Apt 406Chicago, IL 60649-2751 · (312) 774-5315
Phone(872) 901-2057
Sole ProprietorYes
Enumeration DateApril 2, 2024
NPPES CertifiedApril 2, 2024
✔ NPI 1851143135 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · AdministratorNursing Service Providers
Taxonomy Code163WA2000X
License✔ Licensed in IL · 041399052
7220 S SOUTH SHORE DR APT 406, Chicago, IL 60649
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851143135, enumerated as an "individual" on April 02, 2024.
The provider is located at 7220 S SOUTH SHORE DR APT 406 CHICAGO, IL 60649 and the phone number is (872) 901-2057.
Registered Nurse with taxonomy code 163WA2000X and a focus in Administrator.
