Organization Active NPI

Beginners Depoot Ece Consulting

  • Early Intervention Provider Agency
  • Chicago, IL
National Provider Identifier
1043592801
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
TJ35590103P Issued in IL
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

Updated by the provider on Sep 16, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tywanda M Jiles, EDD, DTNPI 1992912703
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.