PAMELA HEYDORN (NPI# 1336578582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336578582 |
| Entity Type | Individual |
| Full Name | PAMELA HEYDORN |
| Practice Address |
133 E Brush Hill Rd Ste. 202 Elmhurst IL 60126-5659 |
| Practice Telephone | 6307824050 |
| Practice Fax Number | 6307825021 |
| Mailing Telephone | 6307824050 |
| Mailing Fax Number | 6307825021 |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SC0200X |
Clinical Nurse Specialist Specialization: Critical Care Medicine |
209006094 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
133 E BRUSH HILL RD STE. 202 |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-5659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114928397 | Donald Rahim Adeli | Obstetrics & Gynecology | 133 E Brush Hill Rd, Elmhurst, IL 60126-5659 | 2005-08-10 |
| 1306363593 | Dovile Cvirka | Physical Therapist | 133 E Brush Hill Rd, Elmhurst, IL 60126-5659 | 2017-08-28 |
| 1265977656 | Krista Hensley | Nurse Practitioner | 133 E Brush Hill Rd, Suite 310, Elmhurst, IL 60126-5659 | 2016-12-21 |
| 1689125700 | Priya Bedi | Physician Assistant | 133 E Brush Hill Rd, 310, Elmhurst, IL 60126-5659 | 2016-10-24 |
| 1255702684 | Sandra Elizabeth Bandel | Nurse Practitioner | 133 E Brush Hill Rd, Elmhurst, IL 60126-5659 | 2015-10-12 |
| 1679943518 | Abigail Peachey | Physical Therapist | 133 E Brush Hill Rd, Suite 100, Elmhurst, IL 60126-5659 | 2015-10-05 |
| 1295118610 | Marie Wydra | Nurse Practitioner | 133 E Brush Hill Rd, Ste 110, Elmhurst, IL 60126-5659 | 2015-07-02 |
| 1669861886 | Douglas Riggs | Physical Therapist | 133 E Brush Hill Rd, Suite 100, Elmhurst, IL 60126-5659 | 2015-01-12 |
| 1487042057 | Keith Kriesberg | Physician Assistant | 133 E Brush Hill Rd, Suite 200, Elmhurst, IL 60126-5659 | 2015-01-05 |
| 1659704708 | Du Page Medical Group Ltd | Prosthetic/Orthotic Supplier | 133 E Brush Hill Rd, Ste 100, Elmhurst, IL 60126-5659 | 2013-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| Taxonomy Code | 364SC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447473707 | Amy R. Westbrook | Clinical Nurse Specialist | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316153984 | Constance A Wright | Clinical Nurse Specialist | 5758 South Maryland, Chicago, IL 60637 | 2007-05-14 |
| 1215076153 | Elizabeth (beth) T Zimmermann | Clinical Nurse Specialist | 5839 So. Maryland Ave., Mc4062-ucch, Chicago, IL 60637 | 2007-02-06 |
| 1205332509 | Irene Copak | Clinical Nurse Specialist | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2018-04-04 |
| 1831623636 | Sheri Moonan | Clinical Nurse Specialist | 4440 W 95th St, 6324p- Lung Transplant Office, Oak Lawn, IL 60453-2600 | 2017-04-18 |
| 1104272079 | Candice White | Clinical Nurse Specialist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2016-05-10 |
| 1982029856 | Jennifer Casey | Clinical Nurse Specialist | 1120 N Melvin St, Gibson City, IL 60936-1477 | 2014-02-28 |
| 1073956777 | Leslie Ann Collins | Clinical Nurse Specialist | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2013-04-11 |
| 1841539616 | Darla Jo Bradle | Clinical Nurse Specialist | 2222 E State St, Suite 209, Rockford, IL 61104-1573 | 2013-02-13 |
| 1306183173 | Ann L Miller | Clinical Nurse Specialist | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2013-01-13 |
| 1831444082 | Ann Czarny | Clinical Nurse Specialist | 5101 Willow Springs Rd, La Grange, IL 60525-2600 | 2012-07-13 |
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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.