Latrice M Reddick

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

5948 S Campbell Ave Apt 2
Chicago, IL 60629-1120

Phone

(773) 526-8233

NPI assigned

Mar 5, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1386102754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5948 S CAMPBELL AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606291120",
            "telephone_number": "773-526-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5948 S CAMPBELL AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606291120",
            "telephone_number": "773-526-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDICK",
        "first_name": "LATRICE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William J Reda, M.D.
• Lauren Redd, DNP, PMHNP-BC
• Rachel Marie Tokarski Reddecliff, OTR/L
• Susan Redden, CADC
• Debbie Reddick, D.D.S.
• Beth Redding, LCSW
• Joel Christopher Reddish, PHARM.D., BCPS
• Abhinav K Reddy, MD
• Arun Padira Reddy, DO
• Avinish Devuni Reddy

• Developmental Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.