Latoya Chisholm, is a
Speech-language Pathologist based in Glenwood, Illinois. Latoya Chisholm is licensed to practice in * (Not Available) (license number ) and her current practice location is
19330 S Cottage Grove Ave, Glenwood, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 758-6200.
NPI number for Latoya Chisholm is 1336793421 and her current mailing address is 4058 N Sheridan Rd Apt 3e, Chicago, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336793421.
Healthcare Provider's Profile
Full Name | Latoya Chisholm |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 19330 S Cottage Grove Ave, Glenwood, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336793421
- Provider Enumeration Date: 07/28/2019
- Last Update Date: 07/28/2019
Medical Identifiers
Medical identifiers for Latoya Chisholm such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336793421 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Latoya Chisholm is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Latoya Chisholm, 4058 N Sheridan Rd Apt 3e, Chicago, IL 60613-2089 Ph: (914) 325-6633 | Latoya Chisholm, 19330 S Cottage Grove Ave, Glenwood, IL 60425-1834 Ph: (708) 758-6200 |
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