Kehinde A. Hattisburg

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.010211 Issued in IL

Practice address

913 E 54TH St
#206
Chicago, IL 60615-5019

Phone

(773) 493-4000

NPI assigned

Feb 22, 2010

Last updated

Nov 22, 2010By the provider in NPPES

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)

Enrolled

State licenses

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1740502475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 E 54TH ST",
            "address_2": "#206",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606155019",
            "telephone_number": "773-493-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 E 54TH ST",
            "address_2": "#206",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606155019",
            "telephone_number": "773-493-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATTISBURG",
        "first_name": "KEHINDE",
        "middle_name": "A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.010211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nawar Hatoum, MD
• Yousef A. Y. Hattab, MD
• Adina Hattar, PA-C
• Reagan Hattaway, MD
• Kelli Nicole Hatter, MD
• Haralambos Hatzidimitriadis, MD
• Nicholas Michael Hatzis, M.D.
• Devin Renee Haub, FNP-C
• Amanda L Hauck, M.D.
• Garrett Hauck, MD

• Speech-Language Pathologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.