TAISHA DESTIN (NPI# 1679101091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679101091 |
| Entity Type | Individual |
| Full Name | TAISHA DESTIN |
| Practice Address |
4440 W 95th St Rm 131 Oak Lawn IL 60453-2600 |
| Mailing Address |
4440 W 95th St Oak Lawn IL 60453-2600 |
| Practice Telephone | 7086845674 |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4440 W 95TH ST RM 131 |
| City | OAK LAWN |
| State | IL |
| Zip Code | 60453-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413572 | Samantha Jo Storti | Student in an Organized Health Care Education/Training Program | 4440 W 95th St Rm 131, Oak Lawn, IL 60453-2600 | 2020-03-23 |
| 1902421449 | Andrew Rife | Student in an Organized Health Care Education/Training Program | 4440 W 95th St Rm 131, Oak Lawn, IL 60453-2600 | 2020-06-10 |
| 1427673995 | Roxanne Teresa Aleman | Student in an Organized Health Care Education/Training Program | 4440 W 95th St Rm 131, Oak Lawn, IL 60453-2600 | 2020-06-10 |
| 1861016396 | Marie Elizabeth Overbeck | Internal Medicine | 4440 W 95th St Rm 131, Oak Lawn, IL 60453-2600 | 2020-06-01 |
| 1396369971 | Sandra Pasiah | Internal Medicine | 4440 W 95th St Rm 131, Oak Lawn, IL 60453-2600 | 2020-05-30 |
| 1275157844 | Anthony Guglielmi | Student in an Organized Health Care Education/Training Program | 4440 W 95th St Rm 131, Oak Lawn, IL 60453-2600 | 2020-05-30 |
| 1376163436 | Rosario Bartolomeo | Student in an Organized Health Care Education/Training Program | 4440 W 95th St Rm 131, Oak Lawn, IL 60453-2600 | 2020-04-19 |
| 1023638160 | Nicole Alexandra Hristakos | Student in an Organized Health Care Education/Training Program | 4440 W 95th St Rm 131, Oak Lawn, IL 60453-2600 | 2020-04-18 |
| 1073132536 | Anne Marie Bonaguro | Student in an Organized Health Care Education/Training Program | 4440 W 95th St Rm 131, Oak Lawn, IL 60453-2600 | 2020-04-14 |
| 1194344085 | Spencer Deleveaux | Student in an Organized Health Care Education/Training Program | 4440 W 95th St Rm 131, Oak Lawn, IL 60453-2600 | 2020-04-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
| 1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
| 1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
| 1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
| 1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
| 1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
| Find all providers in zip 60453 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
| 1497383814 | Adeola Adetunji | Student in an Organized Health Care Education/Training Program | 4440 W 95th St Ste 131nob, Oak Lawn, IL 60453-2600 | 2020-03-31 |
| 1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
| 1700413572 | Samantha Jo Storti | Student in an Organized Health Care Education/Training Program | 4440 W 95th St Rm 131, Oak Lawn, IL 60453-2600 | 2020-03-23 |
| 1790342533 | Amanda Ruiz | Student in an Organized Health Care Education/Training Program | 5453 W 108th Pl, Oak Lawn, IL 60453-5032 | 2019-05-28 |
| 1669835914 | Adam Daniel Gliniewicz | Student in an Organized Health Care Education/Training Program | 4440 W 95th St Rm 131no, Oak Lawn, IL 60453-2600 | 2016-04-04 |
| 1689036493 | Sarah Solano Nathan | Student in an Organized Health Care Education/Training Program | 5851 W 95th St Ste 400, Oak Lawn, IL 60453-2415 | 2016-03-22 |
| 1457320467 | Brian Kretschmer | Student in an Organized Health Care Education/Training Program | 9400 Southwest Hwy, Oak Lawn, IL 60453-2372 | 2006-03-14 |
| 1902421449 | Andrew Rife | Student in an Organized Health Care Education/Training Program | 4440 W 95th St Rm 131, Oak Lawn, IL 60453-2600 | 2020-06-10 |
| 1427673995 | Roxanne Teresa Aleman | Student in an Organized Health Care Education/Training Program | 4440 W 95th St Rm 131, Oak Lawn, IL 60453-2600 | 2020-06-10 |
| Find all providers in OAK LAWN | ||||
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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.