Connie Temple

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

12511 S Princeton Ave
Chicago, IL 60628-7224

Phone

(312) 826-1210

NPI assigned

Nov 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Infinite Possibilities Foundation

  • Case Management Agency
  • Chicago, IL
  • NPI 1144866724
  NPD Authorized official

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1861038440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12511 S PRINCETON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606287224",
            "telephone_number": "312-826-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12511 S PRINCETON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606287224",
            "telephone_number": "312-826-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPLE",
        "first_name": "CONNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyelle Temming
• Gabriela Temneanu
• Tempered Focus Clinical Therapy PLLC
• Chandler Tempest, DMD
• Bria Temple, M.ED.
• Dana Null Temple
• Elizabeth Ann Temple, DNP, CRNA
• Tyus Temple
• Evan Peter Templeman, DDS
• Jessica Templer, M.D.

• Case Manager/Care Coordinator in Chicago, IL
• Providers in Chicago, IL by specialty
• Case Manager/Care Coordinator in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.