VIRGINIA LACKER (NPI# 1689190951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689190951 |
| Entity Type | Individual |
| Full Name | VIRGINIA LACKER |
| Practice Address |
811 W Evergreen Ave Ste 404 Chicago IL 60642-7113 |
| Practice Telephone | 3122421665 |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2017-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
070.023010 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
811 W EVERGREEN AVE STE 404 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60642-7113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346375177 | Jeffrey Jameson | Occupational Therapist | 811 W Evergreen Ave Ste 404, Chicago, IL 60642-7113 | 2007-02-22 |
| 1033672514 | Amy Jacobsen | Occupational Therapist | 811 W Evergreen Ave Ste 404, Chicago, IL 60642-7113 | 2019-04-10 |
| 1003378985 | Justine Cabrera | Occupational Therapist | 811 W Evergreen Ave Ste 404, Chicago, IL 60642-7113 | 2019-04-01 |
| 1467918607 | Laura Elizabeth Chianakas | Speech-Language Pathologist | 811 W Evergreen Ave Ste 404, Chicago, IL 60642-7113 | 2019-02-12 |
| 1396231676 | Shrutva Jani | Occupational Therapist | 811 W Evergreen Ave Ste 404, Chicago, IL 60642-7113 | 2018-07-10 |
| 1407342280 | Cristina Fabian | Developmental Therapist | 811 W Evergreen Ave Ste 404, Chicago, IL 60642-7113 | 2018-07-05 |
| 1407341514 | Kathleen K Brandt | Speech-Language Pathologist | 811 W Evergreen Ave Ste 404, Chicago, IL 60642-7113 | 2018-06-30 |
| 1003307349 | Erin Renee Wilson | Speech-Language Pathologist | 811 W Evergreen Ave Ste 404, Chicago, IL 60642-7113 | 2018-05-22 |
| 1548750771 | Cassandra Mae Barnas | Occupational Therapist | 811 W Evergreen Ave Ste 404, Chicago, IL 60642-7113 | 2018-05-14 |
| 1245729938 | Alexandra Meeske | Physical Therapist | 811 W Evergreen Ave Ste 404, Chicago, IL 60642-7113 | 2018-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134612542 | Lauren Gregorcy | Social Worker | 939 W. North Avenue, Suite 750, Chicago, Illinois, 6064, Office 720, Chicago, IL 60642 | 2018-06-11 |
| 1811409030 | Athletico Ltd | Physical Therapist | 819 W Blackhawk St, Ste 819b, Chicago, IL 60642 | 2017-10-27 |
| 1346759693 | Rachel Sherron | Counselor | 938 N Elston, #1, Chicago, IL 60642 | 2017-09-28 |
| 1639612831 | Empathic Resonance, LLC | Clinic/Center | 939 W North Ave Suite 750, Office 721, Chicago, IL 60642 | 2016-11-21 |
| 1053867317 | D Jamieson Brady | Dentist | 1249 N Greenview Ave Apt 1, Chicago, IL 60642 | 2016-08-28 |
| 1548646508 | Kathryn Lee | Massage Therapist | 742 N Ada St, Unit 1, Chicago, IL 60642 | 2015-07-31 |
| 1497149694 | Neda Bahrani | Family Medicine | 1460 N Halsted St Ste 401, Chicago, IL 60642 | 2015-03-25 |
| 1326439431 | Sarah Perez | Counselor | 1332 N. Cleaver St, Apt. 2rr, Chicago, IL 60642 | 2015-02-11 |
| 1780097105 | Michael Sotiriou | Dermatology | 1765 N Elston Ave Ste 110, Chicago, IL 60642 | 2014-06-03 |
| 1285067876 | Tyler Pere Choate | Speech-Language Pathologist | 400 N. May Street, Chicago, IL 60642 | 2013-08-19 |
| Find all providers in zip 60642 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841750411 | Crawl Walk Leap P.C. | Physical Therapist | 720 W Randolph St Apt 1103, Chicago, IL 60661-2171 | 2019-03-21 |
| 1912478777 | Elaine Rodriguez | Physical Therapist | 3332 N Kostner Ave, Chicago, IL 60641-4513 | 2018-12-05 |
| 1669915674 | Anna's Pediatric Physical Therapy LLC | Physical Therapist | 2120 W Armitage Ave, Unit 1, Chicago, IL 60647-4516 | 2016-11-22 |
| 1669840005 | Kateland Hojnacki | Physical Therapist | 431 W Belden Ave, C203, Chicago, IL 60614-3867 | 2015-09-02 |
| 1033522362 | Starting Smart LLC | Physical Therapist | 3359 N Seminary Ave # 1, Chicago, IL 60657-2220 | 2014-06-04 |
| 1770996159 | Sydney Steininger | Physical Therapist | 2315 N Leavitt St, Apt 3r, Chicago, IL 60647-3273 | 2014-06-03 |
| 1184989964 | Debra Renae Nickoli | Physical Therapist | 401 E Ontario St Apt 4003, Chicago, IL 60611-4443 | 2012-07-09 |
| 1326352899 | Sandra Maria De Jesus | Physical Therapist | 3630 N. Harlem Avenue, 214, Chicago, IL 60634-3194 | 2010-07-27 |
| 1528384971 | New City Therapy, Inc. | Physical Therapist | 2644 W Cermak Rd, Chicago, IL 60608-3515 | 2010-04-09 |
| 1104056571 | Abbey Louise Melling | Physical Therapist | 1 W Superior St, Apt. 908, Chicago, IL 60654-8803 | 2009-07-20 |
| 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.