SERITA WHITEHORN (NPI# 1194261875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Street Address |
509 E 144TH ST |
City | DOLTON |
State | IL |
Zip Code | 60419-1145 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063985174 | Adesola O Bello | Occupational Therapist | 15325 Dante Ave, Dolton, IL 60419 | 2019-01-10 |
1780159657 | Angela Denice Carter | Social Worker | 15400 University, Dolton, IL 60419 | 2018-10-08 |
1417322165 | Gregory Peck Stapleton Sr. | Non-emergency Medical Transport (VAN) | 15320 South Evers, Dolton, IL 60419 | 2015-12-07 |
1780055624 | Royal Estates Assistive Living LLC | Assisted Living Facility | 1515 E 154th St., Dolton, IL 60419 | 2015-10-19 |
1013217264 | Bestmed-care Services,ltd | Home Health | 15008 S Woodlawn Avenue, Dolton, IL 60419 | 2010-10-21 |
1689905168 | Faith Connections Home Health and Professional Service Corporation | Home Health | 15335 Sunset Dr, Dolton, IL 60419 | 2010-01-22 |
1053555235 | Aunt Martha's Youth Service Center, Inc | Community Based Residential Treatment Facility, Mental Illness | 14449 Vanburen, Dolton, IL 60419 | 2009-05-01 |
1912163437 | Quality Dental, Inc | Dentist | 1121 E. Sibley Blvd, Dolton, IL 60419 | 2008-08-04 |
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 |
Find all providers in zip 60419 |
Taxonomy Code | 2355S0801X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Specialist/Technologist |
Specialization | Speech-Language Assistant |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407461163 | Jennifer Jackson | Specialist/Technologist | 149 Flagstaff Dr, Bolingbrook, IL 60440-2657 | 2020-09-10 |
1427666825 | Claudia Diane Sudduth | Specialist/Technologist | 2047 E 75th St Apt 2b, Chicago, IL 60649-3637 | 2020-07-21 |
1922620277 | Marina Leticia Washington | Specialist/Technologist | 3303 Wexford Ln, Joliet, IL 60431-0643 | 2020-05-09 |
1568000453 | Aleksandra G Maslowiec | Specialist/Technologist | 8904 W 140th St Apt 3g, Orland Park, IL 60462-9225 | 2019-12-11 |
1396381067 | Casey Malman | Specialist/Technologist | 901 W Madison St Unit 701, Chicago, IL 60607-3372 | 2019-11-18 |
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 |
1801456454 | Andy's Hub LLC | Specialist/Technologist | 922 North Blvd Apt 607, Oak Park, IL 60301-1244 | 2019-06-17 |
1548729148 | Jamie Sanberg | Specialist/Technologist | 314 N Warwick Ave Apt 2c, Westmont, IL 60559-1583 | 2019-03-14 |
Find all providers with the same taxonomy |
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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.