Tamara Philana Martin-Sanford, MACCCSLPL

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146005363 Issued in IL

Practice address

5820 W Irving Park Road
Chicago, IL 60634

Phone

(773) 685-8482

Fax

(773) 685-8479

NPI assigned

Sep 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Tamara Philana Martin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801999339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4734 S CHAMPLAIN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606151504",
            "telephone_number": "773-373-0442",
            "fax_number": "773-373-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 W IRVING PARK ROAD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60634",
            "telephone_number": "773-685-8482",
            "fax_number": "773-685-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN-SANFORD",
        "first_name": "TAMARA",
        "middle_name": "PHILANA",
        "name_prefix": "Mrs.",
        "credential": "MACCCSLPL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146005363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "MARTIN",
            "middle_name": "PHILANA",
            "prefix": "MRS.",
            "credential": "MACCCSLPL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Martin N Paisner, M.D.
• Gabriel Martin Sasamoto
• Kayla Martin Walker, LCSW
• Patricia Aurora Martin-Hoyt
• Naomi Martin-Liu, DNP
• Abigail Margaret Martin
• Ajhera N Martin
• Alec Martin, MD
• Alexa Martin, MD
• Alexandra C Martin, APRN

• 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 Jul 8, 2007; 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.