LAWANDA WALLACE (NPI# 1154788875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154788875 |
| Entity Type | Individual |
| Full Name | LAWANDA WALLACE |
| Practice Address |
11559 S Oakley Ave Chicago IL 60643-4721 |
| Practice Telephone | 7733916689 |
| Mailing Telephone | 7733916689 |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 347C00000X | Private Vehicle | W42053371706 | IL | Transportation Services |
| Street Address |
11559 S OAKLEY AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60643-4721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154941698 | Breann Hampton | Behavior Technician | 1214 W 115th St, Chicago, IL 60643 | 2020-04-24 |
| 1366075566 | Sanctuary Counseling, LLC | Home Health | 12247 S Racine Ave, Calumet Park, IL 60643 | 2020-02-16 |
| 1467082883 | Juliana Frances Cunningham | Developmental Therapist | 10037 S Bell, Chicago, IL 60643 | 2020-01-24 |
| 1013578624 | Sct Counseling | Counselor | 11948 S Western Ave, Chicago, IL 60643 | 2019-06-25 |
| 1073087474 | For Eyes Optical Company of Pa | Optometrist | 9900 S Ridgleland Ave, Chicago Ridge, IL 60643 | 2019-01-18 |
| 1073096426 | Derek Peake | Physical Therapist | 9465 S. Western Road, Chicago, IL 60643 | 2018-09-12 |
| 1508356072 | Halo Medical Professionals Sc. | Chiropractor | 10650 S Western Ave, Chicago, IL 60643 | 2018-05-10 |
| 1811405699 | Kara Eileen Noland | Developmental Therapist | 9327 S Hamilton Ave, Chicago, IL 60643 | 2018-01-16 |
| 1588173546 | Kiah Nicole Bouie | Behavioral Analyst | 1461 W 113th Pl, Chicago, IL 60643 | 2017-09-21 |
| 1174042766 | Travis Wade Robertson | Physical Therapist | 10909-11 S Western Ave, Beverly, IL 60643 | 2017-09-14 |
| Find all providers in zip 60643 | ||||
| Taxonomy Code | 347C00000X |
| Grouping | Transportation Services |
| Classification | Private Vehicle |
| An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462336 | Connect Care Trans LLC | Private Vehicle | 2454 W Peterson Ave, Chicago, IL 60659-4113 | 2020-09-16 |
| 1427699081 | Tb Transportation Enterprise Inc | Private Vehicle | 4114 W Gladys Ave, Chicago, IL 60624-3284 | 2019-10-04 |
| 1598322497 | 1 Care Transportation | Private Vehicle | 4542 S Ellis Ave, Chicago, IL 60653-3644 | 2019-05-26 |
| 1487127957 | Frenchie Upton | Private Vehicle | 8637 S Bennett Ave, Chicago, IL 60617-2949 | 2019-01-08 |
| 1174004667 | Todd Kemp | Private Vehicle | 9435 S Laflin St, Chicago, IL 60620-5142 | 2018-08-23 |
| 1316459068 | Gregory Alexander Hopson Sr. | Private Vehicle | 11337 S King Dr Apt G, Chicago, IL 60628-5068 | 2017-11-02 |
| 1700327277 | Royalty Travel | Private Vehicle | 3647 W 80th St, Chicago, IL 60652-2413 | 2017-03-16 |
| 1073054615 | Transit Mobility Solutions LLC | Private Vehicle | 4426 N Racine Ave, 1s, Chicago, IL 60640-5638 | 2017-03-15 |
| 1447701040 | Lw Transportation Inc. Non Emergency Transportation Provider | Private Vehicle | 1617 W 93rd St, Chicago, IL 60620-5110 | 2016-10-18 |
| 1891153839 | Ruben Sauer | Private Vehicle | 4841 W Concord Pl, Chicago, IL 60639-4521 | 2016-02-05 |
| Find all providers in CHICAGO | ||||
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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.