Active NPI
Beginners Depoot Ece Consulting
- Early Intervention Provider Agency
- Chicago, IL
National Provider Identifier
1043592801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- TJ35590103P
- Legal business name
- BEGINNERS DEPOOT ECE CONSULTING
- Practice address
- 346 W 113TH St
Chicago, IL 60628-4137 - Phone
- (773) 495-5152
- NPI assigned
- Sep 16, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tywanda M Jiles, EDD, DT
- Title
- Executive Director
- Phone
- (773) 710-6897
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | TJ35590103P | IL | Primary |
Addresses
Primary practice location
346 W 113TH St
Chicago, IL 60628-4137
Mailing address
346 W 113TH St
Chicago, IL 60628-4137
Phone (773) 495-5152
Other names 1
- Tywanda Jiles
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Burnham, IL
- NPI 1992912703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316131200000",
"number": "1043592801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "346 W 113TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606284137",
"telephone_number": "773-495-5152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "346 W 113TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606284137",
"telephone_number": "773-495-5152"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEGINNERS DEPOOT ECE CONSULTING",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-16",
"last_updated": "2011-09-16",
"status": "A",
"authorized_official_last_name": "JILES",
"authorized_official_first_name": "TYWANDA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "773-710-6897",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "EDD, DT"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "IL",
"license": "TJ35590103P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tywanda Jiles",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.