MRS. HELEN MARY MUDDAMALLE (NPI# 1518103134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518103134 |
| Entity Type | Individual |
| Full Name | MRS. HELEN MARY MUDDAMALLE |
| Credential | NP |
| Practice Address |
1900 Marne Rd Bolingbrook IL 60490-4597 |
| Practice Telephone | 6302261584 |
| Mailing Telephone | 6302261584 |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2009-01-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.007383 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1900 MARNE RD |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60490-4597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477055945 | Myeyedr Optometry of Illinois, LLC | Optometrist | 310 S Weber Road, Bolingbrook, IL 60490 | 2018-03-01 |
| 1609391812 | Christian Joy Lazaro Pangan | Physical Therapist | 306 Chick Evans St, Bolingbrook, IL 60490 | 2017-08-09 |
| 1922522515 | David-jamahl Ardison | Physical Therapist | 194 N Weber Road, Bolingbrook, IL 60490 | 2017-07-26 |
| 1508261298 | Haytham El-genedy | Chiropractor | 319 Veterans Pakwy Bolingbrook, Bolingbrook, IL 60490 | 2014-10-24 |
| 1568710465 | Anthony M Buonamici | Specialist/Technologist | 313 North Weber Road, Bolingbrook, IL 60490 | 2012-08-27 |
| 1235329384 | Fayez Mekhael Nagib Mekhael | Family Medicine | 2136 Mark Cir, Bolingbrook, IL 60490 | 2007-07-25 |
| 1841350584 | Mary M. Grimwood | Optometrist | 141 N. Weber Rd., Bolingbrook, IL 60490 | 2006-12-11 |
| 1154337962 | Nurses On Calls, Inc. | Home Health | 1475 Basswood Dr, Bolingbrook, IL 60490 | 2006-08-01 |
| 1801841150 | David E Zacher | Pharmacist | 1920 Danube Way, Bolingbrook, IL 60490 | 2006-05-24 |
| 1144229816 | Patricia Lee Colledge | Nurse Practitioner | 149 N Weber Rd, Bolingbrook, IL 60490 | 2005-07-15 |
| Find all providers in zip 60490 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912517236 | Cynthia Lucio | Nurse Practitioner | 6 Dorchester Ct, Bolingbrook, IL 60440-1110 | 2020-08-01 |
| 1174165096 | Michael Boladas Aligno | Nurse Practitioner | 727 Countryside Dr, Bolingbrook, IL 60490-5459 | 2019-10-11 |
| 1225692080 | Jacinta Chinyere Igbo | Nurse Practitioner | 412 Ingleside Dr, Bolingbrook, IL 60490-3106 | 2019-04-26 |
| 1952808081 | Resmi A George | Nurse Practitioner | 398 S Palmer Dr, Bolingbrook, IL 60490-2040 | 2018-04-06 |
| 1275049694 | Isoken Franca Ogbomo | Nurse Practitioner | 1522 Schafer Ave, Bolingbrook, IL 60490-3230 | 2017-12-21 |
| 1578072815 | Onna Ford-kendrick | Nurse Practitioner | 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 | 2017-09-28 |
| 1063949840 | Treesa J Thomas | Nurse Practitioner | 574 Warbler Dr, Bolingbrook, IL 60440-4200 | 2017-05-11 |
| 1639521669 | Natalie Joann Kalvoda | Nurse Practitioner | 420 Remington Blvd Ste 125, Bolingbrook, IL 60440-4950 | 2016-07-01 |
| 1669845434 | Geraldine Bemabou Ntum | Nurse Practitioner | 1617 Trails End Ln, Bolingbrook, IL 60490-3291 | 2015-11-03 |
| 1427231190 | Kathleen Chambers | Nurse Practitioner | 1295 Lily Cache Lane, Bolingbrook, IL 60440 | 2007-12-17 |
| Find all providers in BOLINGBROOK | ||||
| City | BOLINGBROOK |
| Zip Code | 60490 |
Please comment or provide details below to improve the information on MRS. HELEN MARY MUDDAMALLE.
| 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.