SERITA WHITEHORN


Address: 509 E 144th St, Dolton, IL 60419-1145
Phone: 7739887883

SERITA WHITEHORN (NPI# 1194261875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194261875
Entity Type Individual
Full Name SERITA WHITEHORN
Practice Address 509 E 144th St
Dolton
IL 60419-1145
Practice Telephone 7739887883
Mailing Telephone 7739887883
Enumeration Date 2017-01-18
Last Update Date 2017-01-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2355S0801X Specialist/Technologist
Specialization: Speech-Language Assistant
29001804A IN Speech, Language and Hearing Service Providers

Office Location

Street Address 509 E 144TH ST
City DOLTON
State IL
Zip Code 60419-1145

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1013138171 Valerie Denise Hicks-beal Developmental Therapist 14501 S. Dobson, Dolton, IL 60419 2007-05-02
1417178096 Rhonda D Williams Occupational Therapy Assistant 15205 Diekman Court, Dolton, IL 60419 2007-05-01
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Taxonomy Information

Taxonomy Code 2355S0801X
Grouping Speech, Language and Hearing Service Providers
Classification Specialist/Technologist
Specialization Speech-Language Assistant

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407461163 Jennifer Jackson Specialist/Technologist 149 Flagstaff Dr, Bolingbrook, IL 60440-2657 2020-09-10
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1922620277 Marina Leticia Washington Specialist/Technologist 3303 Wexford Ln, Joliet, IL 60431-0643 2020-05-09
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1467001800 Raoof Mirza Ali Baig Specialist/Technologist 564 Abbey Rd, Bartlett, IL 60103-1926 2019-09-09
1598314072 Shawna Grace Stadtherr Specialist/Technologist 2925 Manchester Dr, Montgomery, IL 60538-4063 2019-09-08
1770139834 Laura Joana Ayla Specialist/Technologist 440 N Anna Ln, Romeoville, IL 60446-5283 2019-08-14
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Competitor

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City DOLTON
Zip Code 60419

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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