KIERRA LA SHAWN BRUNO-RODGERS (NPI# 1073080909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073080909 |
| Entity Type | Individual |
| Full Name | KIERRA LA SHAWN BRUNO-RODGERS |
| Practice Address |
712 N Dearborn St Chicago IL 60654-3846 |
| Mailing Address |
420 Winston Ln Chicago Heights IL 60411-1620 |
| Practice Telephone | 7086920728 |
| Mailing Telephone | 7086920728 |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2018-10-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
238000612 | IL | Allopathic & Osteopathic Physicians |
| Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | REGISTERED SURGICAL ASSISTANT | 238000612 | 01 |
| Street Address |
712 N DEARBORN ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60654-3846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821191404 | Gary G Wiesman | Otolaryngology | 712 N Dearborn St, Chicago, IL 60654-3846 | 2006-09-07 |
| 1033754320 | Audrey R Snyder | Physician Assistant | 712 N Dearborn St, Chicago, IL 60654-3846 | 2019-11-11 |
| 1134777311 | Iv Solution & Infusion Centers, LLC | Anesthesiology | 712 N Dearborn St, Chicago, IL 60654-3846 | 2019-08-30 |
| 1609375021 | Kelly Diamond | Physician Assistant | 712 N Dearborn St, Chicago, IL 60654-3846 | 2018-02-12 |
| 1578096749 | Midwest Specialty Pharmacy LLC | Pharmacy | 712 N Dearborn St, Ste. 3a, Chicago, IL 60654-3846 | 2017-04-05 |
| 1700246592 | Anesthesia Associates of Chicago Inc | Anesthesiology | 712 N Dearborn St, Chicago, IL 60654-3846 | 2016-03-07 |
| 1891104246 | New Focus Medicine LLC | Clinic/Center | 712 N Dearborn St, Chicago, IL 60654-3846 | 2014-08-11 |
| 1659700151 | Brittany Macleod | Physician Assistant | 712 N Dearborn St, Chicago, IL 60654-3846 | 2013-11-05 |
| 1831527290 | Ora Dental Group, LLC | Dentist | 712 N Dearborn St, 4th Floor, Chicago, IL 60654-3846 | 2013-10-23 |
| 1205192978 | Illinois Orthopedic Network, LLC | Neuromusculoskeletal Medicine, Sports Medicine | 712 N Dearborn St, Chicago, IL 60654-3818 | 2012-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912523564 | Male-order Men's Health LLC | Pharmacy | 710 N. Dearborn St., Chicago, IL 60654 | 2020-06-19 |
| 1669014924 | Tanner John Magee | Chiropractor | 415 N. Lasalle St., Suite 605, Chicago, IL 60654 | 2019-10-08 |
| 1144873886 | Fraeda Friedman | Social Worker | 451 N Lasalle Dr, Chicago, IL 60654 | 2019-07-22 |
| 1568024040 | Robin Elizabeth Miller | Dietitian, Registered | 770 North Lasalle Street, Suite 800, Chicago, IL 60654 | 2019-07-03 |
| 1487115804 | Ontario Street Operatory Fac | Clinic/Center | 22 W Ontario Street Operatory, Chicago, IL 60654 | 2019-03-28 |
| 1134697683 | Ghazal Kermani | Dentist | 350 North Clark Street, Suite 600, Chicago, IL 60654 | 2018-11-02 |
| 1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
| 1710495312 | Mia Zarlengo | Dietitian, Registered | 770 N Lasalle Dr, 800, Chicago, IL 60654 | 2018-01-17 |
| 1568970341 | Kelly Lyons | Acupuncturist | 770 N Lasalle St., Suite 800, Chicago, IL 60654 | 2018-01-16 |
| 1407367568 | Amy Mcnicholas | Counselor | 721 N Lasalle, Chicago, IL 60654 | 2017-10-17 |
| Find all providers in zip 60654 | ||||
| Taxonomy Code | 246ZS0410X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Technologist |
| Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. |
| Notes: Source: Association of Surgical Technologists, "Job Description: Surgical Technologist," 2014. [7/1/2014: code modified, title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114356557 | Vladimir Stalev | Specialist/Technologist, Other | 5978 N Lincoln Ave Apt 2c, Chicago, IL 60659-3747 | 2013-11-06 |
| 1316280514 | Lyubov Andrushkiv | Specialist/Technologist, Other | 840 N Oakley Blvd Apt 2, Chicago, IL 60622-4735 | 2013-04-05 |
| 1437578168 | Osama Tagiuri | Specialist/Technologist, Other | 2300 W Peterson Ave, Chicago, IL 60659-5203 | 2014-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073075420 | Deborah Kay Schroh | Specialist/Technologist, Other | 2350 Ravine Way Ste 400, Glenview, IL 60025-7621 | 2019-04-04 |
| 1447750708 | Shelley R. Ruch | Specialist/Technologist, Other | 1604 Visa Drive, Ste 1, Normal, IL 61761 | 2018-02-13 |
| 1427508076 | Mitchell Bogda | Specialist/Technologist, Other | 132 Bertram Dr Unit K, Yorkville, IL 60560-3212 | 2016-10-06 |
| 1972960193 | Kayla Rushing | Specialist/Technologist, Other | 101 S Birkey St, Goodfield, IL 61742-9631 | 2016-01-19 |
| 1174953186 | Christine Smith | Specialist/Technologist, Other | 12701 W 143rd St Ste 200, Homer Glen, IL 60491-7723 | 2013-11-13 |
| 1760811665 | Allan Cortes | Specialist/Technologist, Other | 807 Ann St, Joliet, IL 60435-0400 | 2013-11-01 |
| 1972942258 | Viktor Tabatchyk | Specialist/Technologist, Other | 109 Frank Lloyd Wright Ln, Oak Park, IL 60302-2644 | 2013-06-19 |
| 1104166875 | Amit Riman | Specialist/Technologist, Other | 1851 President St, Glendale Heights, IL 60139-1978 | 2013-02-18 |
| 1912241779 | Kieu Thi Tran | Specialist/Technologist, Other | 21200 S La Grange Rd Ste 322, Frankfort, IL 60423-2003 | 2012-11-19 |
| 1407107931 | Jamie D Peterson | Specialist/Technologist, Other | 1604 Visa Dr Ste 2, Normal, IL 61761-2195 | 2012-09-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.