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Active NPI 1417589649 Individual Practitioner Female Practitioner

Lataunja Parese Weaver

Licensed Practical Nurse • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Lataunja Weaver is a registered healthcare professional specializing in Licensed Practical Nurse in Chicago, IL. Practice services are available at 7436 S ELLIS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7436 S Ellis Ave

Chicago, IL 606192032

Telephone 7735039114

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
82 Specialists

Practicing in Chicago, IL (906 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-02-05
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License IL 043077883

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
164W00000X (IL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active February 05, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location February 05, 2020

Registered at 7436 S ELLIS AVE, CHICAGO, IL 606192032 (Tel: 7735039114)

📍
Updated Business Mailing Address February 05, 2020

Registered at 7436 S ELLIS AVE, CHICAGO, IL 606192032 (Tel: 7735039114)

👤
Provider Name / Credentials Updated February 05, 2020

Recorded as LATAUNJA WEAVER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2020

Licensed Practical Nurse (License #043077883 in IL)

🟢
Initial NPI Registration & Enumeration February 05, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417589649
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 05, 2020
Last Update: February 05, 2020
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

7436 S Ellis Ave

Chicago, IL 606192032

Phone: 7735039114

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.