Organization Active NPI

TLN Professional Services PLLC

  • Lactation Consultant (Non-RN)
  • Chicago, IL
National Provider Identifier
1316793276
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Legal business name
TLN PROFESSIONAL SERVICES PLLC
Practice address
1621 W Carroll Ave
Chicago, IL 60612-2501
Phone
(888) 510-0059
NPI assigned
Apr 30, 2024
Last updated
Oct 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Insiyah Aamir Gomberawalla, MD
Title
President and Secretary
Phone
(708) 872-7653

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse)Group: 193200000X MULTI-SPECIALTY GROUP 163WL0100X
Lactation Consultant (Non-RN)Group: 193200000X MULTI-SPECIALTY GROUP 174N00000X Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

1621 W Carroll Ave
Chicago, IL 60612-2501

Mailing address

1621 W Carroll Ave
Chicago, IL 60612-2501
Phone (888) 510-0059

National Provider Directory

National Provider Directory
Tax ID family
TLN Professional Services PLLC17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1316793276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 W CARROLL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122501",
            "telephone_number": "888-510-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 W CARROLL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122501",
            "telephone_number": "888-510-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLN PROFESSIONAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "GOMBERAWALLA",
        "authorized_official_first_name": "INSIYAH",
        "authorized_official_middle_name": "AAMIR",
        "authorized_official_title_or_position": "PRESIDENT AND SECRETARY",
        "authorized_official_telephone_number": "708-872-7653",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 1, 2025; 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.