MEDICARE: GIFTED HANDS DOULA SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1962389791
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GIFTED HANDS DOULA SERVICES INC

Provider Business Mailing Address
First Line	:	1440 W TAYLOR ST # 2782
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-4623
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4455 S DR MARTIN L KING JR DR
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60653-3310
Country	:	US
Telephone Number	:	219-208-4586
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	SHANA R PHILLIPS
Credential	:	LPN, C.D.
Telephone Number	:	708-674-8339

Provider Enumeration Date	:	08/21/2025
Last Update Date	:	08/21/2025

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