LATECIA SHACOLE LEAVY (NPI# 1053751396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053751396 |
| Entity Type | Individual |
| Full Name | LATECIA SHACOLE LEAVY |
| Credential | SLPA |
| Practice Address |
12315 S Lincoln St Calumet Park IL 60827-5622 |
| Practice Telephone | 3129334320 |
| Mailing Telephone | 3129334320 |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2013-07-01 |
| 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 |
217000244 | IL | Speech, Language and Hearing Service Providers |
| Street Address |
12315 S LINCOLN ST |
| City | CALUMET PARK |
| State | IL |
| Zip Code | 60827-5622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942759758 | Lanette Newman | Driver | 14411 S Lasalle St, Riverdale, IL 60827 | 2016-09-22 |
| 1053771519 | Klr Transport LLC | Non-emergency Medical Transport (VAN) | 14241 Stewart Ave, Riverdale, IL 60827 | 2016-02-26 |
| 1487998316 | Sherry Coleman | Counselor | 1007 West 123rd Street, Calumet Park, IL 60827 | 2012-11-15 |
| 1275756850 | Bruce Michael Cable | Dentist | 100 W 144th St, Riverdale, IL 60827 | 2007-04-11 |
| 1548377716 | Lolita A Wilburn | Chiropractor | 12647 S Justine, Calumet Park, IL 60827 | 2006-08-24 |
| 1598720088 | Infinite Imaging Inc | Clinic/Center | 1029 E 30th St, Chicago, IL 60827 | 2006-04-19 |
| 1194000299 | Neal's Transportation | Non-emergency Medical Transport (VAN) | 13401 S Halsted St, Riverdale, IL 60827-1121 | 2011-10-20 |
| 1982048526 | Denise Simpson | Occupational Therapy Assistant | 13751 S Lowe Ave, Riverdale, IL 60827-1188 | 2013-04-25 |
| 1144883943 | Kenika Lionta Carter | Developmental Therapist | 13246 S Praire Av, Chicago, IL 60827-1246 | 2019-04-17 |
| 1164897302 | Helping Hands Enterprises LLC | Non-emergency Medical Transport (VAN) | 13246 S Langley Ave, Chicago, IL 60827-1336 | 2015-12-13 |
| Find all providers in zip 60827 | ||||
| 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 | ||||
| City | CALUMET PARK |
| Zip Code | 60827 |
Please comment or provide details below to improve the information on LATECIA SHACOLE LEAVY.
| 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.