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Search › Illinois › 1041C0700X

Tasha Weathersby

NPI 1376458950 · on the registry since 2026 · sole proprietor

Practice

Address
461 E 111th St
Chicago, IL 60628
Phone
(773) 419-4960
Fax
(773) 629-8087
Organisation at this address
Chicago Youth Centers
Wonder World Social Services Nfp
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois