JESSICA LAKE (NPI# 1437708963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146011369 | IL | Speech, Language and Hearing Service Providers |
| 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 |
| Street Address |
5130 W JACKSON BLVD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60644-4332 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 60644 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| 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 |
| 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.