Provider Demographics
NPI:1144738519
Name:WORLDS, TAISHA
Entity type:Individual
Prefix:
First Name:TAISHA
Middle Name:
Last Name:WORLDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2745 BRISTOL DR
Mailing Address - Street 2:
Mailing Address - City:LISLE
Mailing Address - State:IL
Mailing Address - Zip Code:60532-4215
Mailing Address - Country:US
Mailing Address - Phone:773-744-2043
Mailing Address - Fax:
Practice Address - Street 1:2745 BRISTOL DR
Practice Address - Street 2:
Practice Address - City:LISLE
Practice Address - State:IL
Practice Address - Zip Code:60532-4215
Practice Address - Country:US
Practice Address - Phone:773-744-2043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-18
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist