DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TLN PROFESSIONAL SERVICES II, PC

MEDICARE: TLN PROFESSIONAL SERVICES II, PC
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
1163WL0100XLactation Consultant (Registered Nurse)
2174N00000XLactation Consultant (Non-RN)

General Provider Information

NPI Number : 1235021148
Entity Type Code : Organization
Provider Name (Legal Business Name) : TLN PROFESSIONAL SERVICES II, PC
Provider Business Mailing Address
First Line : 1621 W CARROLL AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60612-2501
Country : US
Telephone Number : 888-510-0059
Fax Number :
Provider Business Practice Location Address
First Line : 334 N SENATE AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46204-1708
Country : US
Telephone Number : 888-510-0059
Fax Number :
Authorized Official
Title or Position : PRESIDENT & SECRETARY
Name : INSIYAH GOMBERAWALLA
Credential : MD
Telephone Number : 708-872-7653
Provider Enumeration Date : 07/16/2025
Last Update Date : 10/01/2025

Similar Medicare Providers

1528914223 — LAUREN HEDLUND FNP
Practice Location Address:
334 N SENATE AVE
INDIANAPOLIS, IN
46204-1708
Practice Phone: 224-760-7322
Practice Fax: 224-535-8252
1750014569 — BOLD STEPS ABA OF IN LLC
Practice Location Address:
334 N SENATE AVE
INDIANAPOLIS, IN
46204-1708
Practice Phone: 718-686-8292
Practice Fax:
1396447785 — BALANCED WELLNESS
Practice Location Address:
334 N SENATE AVE
INDIANAPOLIS, IN
46204-1708
Practice Phone: 260-445-7080
Practice Fax:
1780443739 — MISS GRACE CY JEAN NEWLAND NP
Practice Location Address:
334 N SENATE AVE
INDIANAPOLIS, IN
46204-1708
Practice Phone: 224-760-7322
Practice Fax:
1750121224 — KAREN ERBA
Practice Location Address:
334 N SENATE AVE
INDIANAPOLIS, IN
46204-1708
Practice Phone: 574-376-5346
Practice Fax:
1427931294 — ENTYRE CARE INDIANA LLC
Practice Location Address:
334 N SENATE AVE
INDIANAPOLIS, IN
46204-1708
Practice Phone: 617-320-2253
Practice Fax:

Directions to “TLN PROFESSIONAL SERVICES II, PC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.