Lavina F Hamilton

Primary specialty

SpecialistTaxonomy code 174400000X

License

011.280802 Issued in IL

Practice address

10544 S Harlem Ave Ste 205
Palos Hills, IL 60465-2063

Phone

(773) 242-9408

NPI assigned

Jul 20, 2007

Last updated

Mar 10, 2025By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Revive 45 Inc

  • Durable Medical Equipment & Medical Supplies
  • Palos Hills, IL
  • NPI 1760162929

  Prosthetics Case Management

  NPD Authorized official

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1932309655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9110 S SPAULDING AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051550",
            "telephone_number": "773-512-7008",
            "fax_number": "708-575-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10544 S HARLEM AVE STE 205",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604652063",
            "telephone_number": "773-242-9408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9110 S Spaulding Ave",
            "address_purpose": "LOCATION",
            "city": "Evergreen Park",
            "state": "IL",
            "postal_code": "608051550",
            "country_code": "US",
            "telephone_number": "773-512-7008",
            "fax_number": "708-575-1953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "LAVINA",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "011.280802",
            "primary": true
        },
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Lynn Grant, MHS,CFY-SLP
• Deepak Grover, OTR/L
• Emelene Marie Hadd
• Elizabeth L Hadhazy, OTR/L
• Denise Dawn Hale, D.D.S.
• Happy Health and Nutrition, LLC
• Dalal M Hasan
• Shireen Mohamed Hassan
• Healing Hearts Animal Assisted Therapy, PLLC
• Molly Maureen Higgins, , RN, FNP-BC

• Specialist in Palos Hills, IL
• Providers in Palos Hills, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.