Healthcare Provider Details

I. General information

NPI: 1831037167
Provider Name (Legal Business Name): SARP IT CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3408 FOUNTAINBLEAU DR
HAZEL CREST IL
60429
US

IV. Provider business mailing address

1440 W TAYLOR ST # 1705
CHICAGO IL
60607-4623
US

V. Phone/Fax

Practice location:
  • Phone: 312-678-5844
  • Fax:
Mailing address:
  • Phone: 312-678-5844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: KOFI SARPONG
Title or Position: MANAGING MEMBER
Credential:
Phone: 312-678-5844