Provider Demographics
NPI:1659927044
Name:L&K CONSULTING
Entity Type:Organization
Organization Name:L&K CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MOFOLUWA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMIYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-244-7449
Mailing Address - Street 1:4512 JEFFERSON DR
Mailing Address - Street 2:
Mailing Address - City:RICHTON PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60471-1852
Mailing Address - Country:US
Mailing Address - Phone:708-244-7449
Mailing Address - Fax:
Practice Address - Street 1:11520 183RD PL STE 100
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-9476
Practice Address - Country:US
Practice Address - Phone:708-244-7449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-13
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL213401409213600Medicaid