Ladina Gamble, LPN
Individual provider Active NPI Licensed Practical Nurse · Markham, IL
NPI 1841760147 · NPPES record last updated Nov 29, 2018
Key facts
- NPI
- 1841760147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 043105884 (IL)
- Practice address
- 16160 Wolcott Ave
Markham, IL 60428-4944 - Phone
- (708) 541-0151
- NPI assigned
- Nov 29, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043105884 | IL | MD | Licensed Practical Nurse |
| 27061423A | IN | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 043105884 | IL | Yes |
| Licensed Practical Nurse | 164W00000X | 27061423A | IN |
Addresses
Primary practice location
16160 Wolcott Ave
Markham, IL 60428-4944
Mailing address
6450 Kentucky Ave
Hammond, IN 46323-1233
Phone (773) 469-1098
Other providers in Markham, IL
- Jennifer Ellison
- Empress Home Healthcare Inc.
- Empress Home Healthcare Inc.
- Family Connections Health Care
- Aarin C Fisher
- Joseph Gatlin
- Tilesa Renee Gone
- Green Energy Group
- Hope Green
- Tony Hall
All providers in Markham, IL · Licensed Practical Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.