JESSICA LAKE


Address: 5130 W Jackson Blvd, Chicago, IL 60644-4332
Phone: 7739218000

JESSICA LAKE (NPI# 1437708963) 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) 1437708963
Entity Type Individual
Full Name JESSICA LAKE
Practice Address 5130 W Jackson Blvd
Chicago
IL 60644-4332
Mailing Address 1908 W Armitage Ave Apt 2e
Chicago
IL 60622-1084
Practice Telephone 7739218000
Mailing Telephone 3109031034
Enumeration Date 2019-09-07
Last Update Date 2019-09-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 146011369 IL Speech, Language and Hearing Service Providers

Other Providers JESSICA LAKE

NPI Name Taxonomy Address Enumeration
1962938274 Jessica Lake Behavior Technician 14434 Ne 8th St, 300, Bellevue, WA 98007-4146 2017-05-05
1174866958 Jessica A Lake Student in an Organized Health Care Education/Training Program 999 N 92nd St, Suite 430, Milwaukee, WI 53226-4875 2013-03-31
1427364793 Jessica S Lake Physical Therapist 95 Bradhurst Ave, Valhalla, NY 10595-1637 2010-08-25

Office Location

Street Address 5130 W JACKSON BLVD
City CHICAGO
State IL
Zip Code 60644-4332

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740351972 Jackson Corp Durable Medical Equipment & Medical Supplies 5130 W Jackson Blvd, Chicago, IL 60644-4332 2006-11-10
1376025304 Loretto Hospital Clinic/Center 5130 W Jackson Blvd, Chicago, IL 60644-4332 2018-09-06
1578941340 Symphony Jackson Square LLC Skilled Nursing Facility 5130 W Jackson Blvd, Chicago, IL 60644-4332 2015-05-13
1881006989 Jennifer Burns Occupational Therapist 5130 W Jackson Blvd, Chicago, IL 60644-4332 2014-05-22
1235554486 Bryan De Rosas Occupational Therapist 5130 W Jackson Blvd, Chicago, IL 60644-4332 2014-02-25
1740540848 Emily R Gomeztagle Speech-Language Pathologist 5130 W Jackson Blvd, Chicago, IL 60644-4332 2012-05-22
1356578900 Jackson Square Skilled Nursing Aand Living Durable Medical Equipment & Medical Supplies 5130 W Jackson Blvd, Chicago, IL 60644-4332 2009-06-22
1588816623 Jackson Corp Skilled Nursing Facility 5130 W Jackson Blvd, Chicago, IL 60644-4332 2008-10-21
1255592234 Green Healthcare Ltd. Nurse Practitioner 5130 W Jackson Blvd, Chicago, IL 60644-4332 2008-06-22
1831364132 Loretto Hospital Clinic/Center 5130 W Jackson Blvd, Chicago, IL 60644-4332 2008-04-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710535638 Marta Yvonne Palmer Technician 5008 W Adams, Chicago, IL 60644 2019-09-04
1861056848 B U I L D Incorporated Social Worker 5100 W Harrison St., Chicago, IL 60644 2019-04-25
1851806269 Habilitative Systems, Inc. Case Management 4732 W Ohio St, Chicago, IL 60644 2017-12-07
1336408665 Meghan Nancy Daw Dietitian, Registered 646 S Central Ave, Chicago, IL 60644 2012-05-07
1164790515 Elizabeth Eleanor Reid-tate Pharmacist 5222 W. Madison Avenue, Chicago, IL 60644 2011-12-13
1134458466 Power Teen Program Psychologist 300 N Central Ave, Chicago, IL 60644 2009-12-16
1417198342 Betty Jean Lofton Counselor 5938 W. Midway Park, Chicago, IL 60644 2009-03-24
1881856094 Sanjay M. Patel M.d. S.c. Psychiatry & Neurology 5730 W. Roosevelt Road, Chicago, IL 60644 2008-06-29
1639348691 Ysl Care, Inc Community Based Residential Treatment Facility, Mental Illness 5107-21 West Jackson Blvd, Chicago, IL 60644 2008-02-25
1073795845 Maryanne Rakidzioski Occupational Therapist 5103 W Jackson Blvd, Chicago, IL 60644 2007-12-03
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780285429 Lily Heine Speech-Language Pathologist 1425 W Albion Ave Apt 3, Chicago, IL 60626-5022 2020-11-07
1164022588 Mary Kate Zagotta Speech-Language Pathologist 555 W Kinzie St Apt 1608, Chicago, IL 60654-5847 2020-10-26
1134727134 Madison Frazier Speech-Language Pathologist 1221 N Dearborn St Apt 1206n, Chicago, IL 60610-8377 2020-10-12
1336746809 Karen M Olson Speech-Language Pathologist 4506 N Ashland Ave Apt 1s, Chicago, IL 60640-5445 2020-10-07
1609483072 Claire Elaine Rayburn Speech-Language Pathologist 2142 W Walton St Apt 2, Chicago, IL 60622-4893 2020-09-29
1144837840 Paige Avery Cianciolo Speech-Language Pathologist 1700 W 83rd St, Chicago, IL 60620-4621 2020-09-26
1558975565 Leela A Rao Speech-Language Pathologist 1140 S Wabash Ave Apt 1609, Chicago, IL 60605-2330 2020-09-08
1457960155 Anant Kaur Shergill Speech-Language Pathologist 3729 N Oakley Ave Unit 1, Chicago, IL 60618-4812 2020-07-28
1689283608 Jamie Lynn Payne Speech-Language Pathologist 600 W Roosevelt Rd Ste 2e, Chicago, IL 60607-4912 2020-07-26
1144839242 Shana Birger Speech-Language Pathologist 942 W Sheridan Rd Apt 3a, Chicago, IL 60613-6487 2020-07-24
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Competitor

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City CHICAGO
Zip Code 60644

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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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