KENYATTA BLACK
NPI 1891505442
Social Worker - Clinical in Evergreen Park, IL
About Kenyatta Black NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENYATTA BLACK (NPI 1891505442) is an individual clinical provider in Evergreen Park, Illinois, licensed in Illinois (149.028310) and active in the NPI registry since January 2025.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kenyatta Black's NPI number?
The NPI number for Kenyatta Black is 1891505442. It was assigned to this individual provider in the NPPES registry on January 7, 2025.
Where is Kenyatta Black located?
Kenyatta Black practices at 9144 S Utica Ave, Evergreen Park, IL 60805. The listed phone number is (773) 908-9426.
What is Kenyatta Black's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
When was this NPI record last updated?
The NPPES record for Kenyatta Black was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.