The Land of Her

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

THE LAND OF HER

Doing business as

Crown Solutions Prosthetics Center

Practice address

2829 W 87TH St
Evergreen Park, IL 60805-1135

Phone

(873) 349-3464

Fax

(773) 352-9492

NPI assigned

Apr 23, 2022

Organization subpart

No

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

Authorized official

Name

Taneisha Moore, ACCESS MANAGERNPI 1952032633

Title

Prosthetics Specialist

Phone

(773) 370-3726

Specialties & licenses 1

Addresses

Other names 1

• Crown Solutions Prosthetics Center Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• Taneisha Moore

  • Other Technician
  • Evergreen Park, IL
  • NPI 1952032633
  NPD Authorized official

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

{
    "created_epoch": "1650672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1548904816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 W 87TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051135",
            "telephone_number": "773-349-3464",
            "fax_number": "773-352-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 W 87TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051135",
            "telephone_number": "873-349-3464",
            "fax_number": "773-352-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LAND OF HER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-23",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TANEISHA",
        "authorized_official_title_or_position": "PROSTHETICS SPECIALIST",
        "authorized_official_telephone_number": "773-370-3726",
        "authorized_official_credential": "ACCESS MANAGER"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "7733529492",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2829 W 87th St",
            "city": "Evergreen Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "608051135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Crown Solutions Prosthetics Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Thai, PA-C
• Anita Vacha Thakadiyil, M.D
• The Cardiology Group
• The Counselors' Office
• The Headache Lab
• Abraham Thomas, MD
• Bertina Thomas, PTA
• Calex M Thomas, LCPC
• George Thomas, M.D.
• Michael F Thomas, D.O.

• Prosthetic/Orthotic Supplier in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Prosthetic/Orthotic Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.