ERIN SAMANTHA TUDISCO (NPI# 1114482965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114482965 |
| Entity Type | Individual |
| Full Name | ERIN SAMANTHA TUDISCO |
| Practice Address |
1408 Sequoia Cir Yorkville IL 60560-9152 |
| Practice Telephone | 6304498117 |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | IL | Student, Health Care |
| Street Address |
1408 SEQUOIA CIR |
| City | YORKVILLE |
| State | IL |
| Zip Code | 60560-9152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922666791 | Elizabeth Koenig | Social Worker | Centennial Counseling Center, 110 E. Countryside Parkway, Suite C, Yorkville, IL 60560 | 2019-06-05 |
| 1013405760 | Diana Louise Hester | Physical Therapist | 797 Game Farm Rd, Yorkville, IL 60560 | 2018-04-27 |
| 1942714399 | Traci Lynn Anderson | Speech-Language Pathologist | 103 E. Schoolhouse Road, Yorkville, IL 60560 | 2017-11-21 |
| 1407379423 | Aurora Emergency Physicians, LLC | Emergency Medicine | 1122 West Veterans Parkway, Yorkville, IL 60560 | 2017-07-21 |
| 1265804637 | Walgreen Co | Pharmacy | 1122 W Veterans Pkwy, Ste A, Yorkville, IL 60560 | 2015-10-26 |
| 1760725360 | Eric Willis Andersen | Chiropractor | 520 E Kendall Dr Ste C, Yorkville, IL 60560 | 2013-04-02 |
| 1215273800 | Elizabeth Breier | Nurse Practitioner | 1100 Veteran's Parkway, Suite 200, Yorkville, IL 60560 | 2012-12-31 |
| 1104091735 | Caitlin Rose Sterchi | Chiropractor | 2625 N Bridge Street, Yorkville, IL 60560 | 2008-04-24 |
| 1689872939 | Eric Mitra | Dentist | 728 E. Veterans Parkway, Suite 113, Yorkville, IL 60560 | 2007-07-09 |
| 1932321106 | Thompson Chiropractic Clinic, Inc. | Chiropractor | 664 W Veterans Parkway, Suite A, Yorkville, IL 60560 | 2007-05-03 |
| Find all providers in zip 60560 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396208773 | Tara Ann Thomalla | Student in an Organized Health Care Education/Training Program | 20 E Cedar Ct, Yorkville, IL 60560-9531 | 2019-04-11 |
| 1104381938 | Jonathan Hunter Gramme | Student in an Organized Health Care Education/Training Program | 103 W Kendall Dr, Yorkville, IL 60560-1038 | 2019-02-06 |
| 1396249967 | Cristina Elena Marti | Student in an Organized Health Care Education/Training Program | 448 Sutton St, Yorkville, IL 60560-7002 | 2018-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720436 | April Renee Gallik | Student in an Organized Health Care Education/Training Program | 8807 S 79th Ave Apt 18, Hickory Hills, IL 60457-1597 | 2020-11-03 |
| 1932709706 | Samantha Klosak | Student in an Organized Health Care Education/Training Program | 8144 Old Mill Rd, Frankfort, IL 60423-8675 | 2020-10-29 |
| 1508466624 | Carly Belle Mitchell | Student in an Organized Health Care Education/Training Program | 870 Appletree Ct, Northbrook, IL 60062-3402 | 2020-10-28 |
| 1144829813 | Payton Collins | Student in an Organized Health Care Education/Training Program | 5103 S Brookstone Dr, Rochelle, IL 61068-9131 | 2020-10-22 |
| 1821697830 | Mayuri Prashant Shende | Student in an Organized Health Care Education/Training Program | 2160 S. First Ave., Bldg. 105, Suite 2840a, Marywood, IL 60135 | 2020-10-21 |
| 1922607001 | Katherine Chen | Student in an Organized Health Care Education/Training Program | 2305 Mohawk Ln, Glenview, IL 60026-1035 | 2020-10-20 |
| 1922606995 | Cassia Yuechun Weigel | Student in an Organized Health Care Education/Training Program | 601 N Main St Apt 5s, Normal, IL 61761-1576 | 2020-10-13 |
| 1679171888 | Manuel J Ramirez | Student in an Organized Health Care Education/Training Program | 714 W Woodland Rd, Lake Bluff, IL 60044-1652 | 2020-10-12 |
| 1205443975 | Nickolas Armstrong | Student in an Organized Health Care Education/Training Program | 2828 N Pine Grove Ave Apt 618, Chicago, IL 60657-6137 | 2020-09-28 |
| 1871109496 | Morgan Elizabeth Westjohn | Student in an Organized Health Care Education/Training Program | 111 Mound St, Sainte Marie, IL 62459 | 2020-09-18 |
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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.