Latoya Chisholm, is a 
Speech-language Pathologist based in Glenwood, Illinois. Latoya Chisholm is licensed to practice in * (Not Available) (license number ) and her current practice location is 
19330 S Cottage Grove Ave, Glenwood, Illinois. She can be reached at her office (for appointments etc.) via phone at 
(708) 758-6200.
NPI number for Latoya Chisholm is 1336793421 and her current mailing address is 4058 N Sheridan Rd Apt 3e, Chicago, Illinois. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336793421.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Latoya Chisholm | 
|---|
| Gender | Female | 
|---|
| Speciality | Speech-language Pathologist | 
|---|
| Location | 19330 S Cottage Grove Ave, Glenwood, Illinois | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1336793421
 - Provider Enumeration Date: 07/28/2019
 - Last Update Date: 07/28/2019
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Latoya Chisholm such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1336793421 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 235Z00000X | Speech-language Pathologist  |  (* (Not Available)) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Latoya Chisholm is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Latoya Chisholm, 4058 N Sheridan Rd Apt 3e, Chicago, IL 60613-2089 Ph: (914) 325-6633 | Latoya Chisholm, 19330 S Cottage Grove Ave, Glenwood, IL 60425-1834 Ph: (708) 758-6200 | 
		
		 
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