MRS. LYDIA JODREY (NPI# 1568766038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568766038 |
| Entity Type | Individual |
| Full Name | MRS. LYDIA JODREY |
| Other Name | MISS LYDIA STUSHEK |
| Credential | RN, MSN, CPNP |
| Practice Address |
121 S Wilke Rd #600 Arlington Heights IL 60005-1533 |
| Mailing Address |
525 S Warren Ave Palatine IL 60074-6423 |
| Practice Telephone | 8472598379 |
| Mailing Telephone | 8477494237 |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2010-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
209008114 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
121 S WILKE RD #600 |
| City | ARLINGTON HEIGHTS |
| State | IL |
| Zip Code | 60005-1533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730692351 | Valerie Ann Lelle | Physician Assistant | 121 S Wilke Rd, Arlington Heights, IL 60005-1533 | 2017-11-06 |
| 1497266126 | Raina A George | Nurse Practitioner | 121 S Wilke Rd, Arlington Heights, IL 60005-1533 | 2017-10-20 |
| 1902324296 | Carmen Taylor-mason | Nurse Practitioner | 121 S Wilke Rd, Arlington Heights, IL 60005-1533 | 2017-09-06 |
| 1689027773 | Anthony Mule | Counselor | 121 S Wilke Rd, Suite 200, Arlington Heights, IL 60005-1533 | 2016-07-13 |
| 1801247283 | Kerri Ann Doherty | Behavioral Analyst | 121 S Wilke Rd, 410, Arlington Heights, IL 60005-1533 | 2016-06-27 |
| 1962884403 | Jennifer Ann Lopez | Counselor | 121 S Wilke Rd, Arlington Heights, IL 60005-1533 | 2015-06-21 |
| 1013309475 | Northwest Adhd Center Inc. | Counselor | 121 S Wilke Rd, Suite 403, Arlington Heights, IL 60005-1533 | 2015-02-23 |
| 1760826192 | Michele Pamela Hart | Counselor | 121 S Wilke Rd, Suite 232, Arlington Heights, IL 60005-1533 | 2013-04-29 |
| 1043587694 | Reliable Caregivers, Inc. | In Home Supportive Care | 121 S Wilke Rd, Suite 204b, Arlington Heights, IL 60005-1540 | 2011-11-28 |
| 1285919191 | Pamela R. Re | Counselor | 121 S Wilke Rd, Suite 232, Arlington Heights, IL 60005-1533 | 2011-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033673330 | Salario Senior Care, Inc. | In Home Supportive Care | 1020 S. Arlington Heights Road Ste 1 Nw, Arlington Heights, IL 60005 | 2019-01-31 |
| 1265922355 | Kathy Pawlusiewicz Dds. Dba Prospect Dental | Dentist | 1120 E. Central Rd., Arlington Heights, IL 60005 | 2018-05-14 |
| 1316437890 | Darcy L Marr | Orthopaedic Surgery | 3030 Salt Creek Lane, Suite 100, Arlington Heights, IL 60005 | 2018-05-10 |
| 1679076269 | Patrick O'neill | Specialist/Technologist | 1115 W Francis Dr, Arlington Hts, IL 60005 | 2018-03-09 |
| 1326556861 | Danielle Marie Frye Hughes | Chiropractor | 825 E Golf Rd Ste 1147, Arlington Heights, IL 60005 | 2018-01-18 |
| 1568977890 | Nicole L Pollard | Counselor | 121 New Wilke Road, Suite 101, Arlington Heights, IL 60005 | 2017-12-08 |
| 1477062701 | New Family Dental | Dentist | 1768 W Algonqun Rd, Arlington Heights, IL 60005 | 2017-09-29 |
| 1346775715 | Laura Marie Ipjian | Counselor | 121 S Wilke Rd Ste 232, Arlington Heights, IL 60005 | 2017-04-24 |
| 1285051615 | Christopher Colby | Student in an Organized Health Care Education/Training Program | 1600 W. Cnetral Rd., Arlington Heights, IL 60005 | 2014-03-24 |
| 1497181697 | Legacy Medical Care Inc | Clinic/Center | 121 S. Wilke Rd, Suite 600, Arlington Heights, IL 60005 | 2013-09-19 |
| Find all providers in zip 60005 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578734927 | Molly Elizabeth Freely | Nurse Practitioner | 121 S Wilke Rd Ste 605, Arlington Heights, IL 60005 | 2008-03-13 |
| 1033608047 | Debra Lanette Luhrsen | Nurse Practitioner | 121 S Wilke Rd Ste 600, Arlington Heights, IL 60005-1529 | 2018-05-04 |
| 1801192000 | Christina Anna Marie Mcgill | Nurse Practitioner | 3040 W Salt Creek Ln, Arlington Heights, IL 60005-1069 | 2011-02-04 |
| 1083934442 | Anne Marie Elizabeth Drahos | Nurse Practitioner | 3040 W Salt Creek Ln, Arlington Heights, IL 60005-1069 | 2010-06-08 |
| 1528174588 | Melinda J. Hare | Nurse Practitioner | 800 W Central Rd, Northwest Community Hospital, Arlington Heights, IL 60005-2349 | 2006-08-22 |
| 1750315354 | Carri Ryan Buerger | Nurse Practitioner | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881291 | Sarah Zeigler Olsen | Nurse Practitioner | 600 S Randall Rd Ste 220, Algonquin, IL 60102-5937 | 2020-11-02 |
| 1467051151 | Mallory Jo Brooks | Nurse Practitioner | 2306 E County Road 1800 N, Carthage, IL 62321-3101 | 2020-10-22 |
| 1508475294 | Diedra M Ahlert | Nurse Practitioner | 1320 Lexington Dr, Collinsville, IL 62234-4348 | 2020-07-28 |
| 1679182802 | Danielle L Shubert | Nurse Practitioner | 9423 Holy Cross Ln Ste 111, Breese, IL 62230-3510 | 2020-07-23 |
| 1154962900 | Janna Hoppe | Nurse Practitioner | 24600 W 127th St Ste 345, Plainfield, IL 60585-9507 | 2019-10-02 |
| 1841858529 | Katherine R Conkling | Nurse Practitioner | 4941 Benchmark Centre Dr Ste 100, Swansea, IL 62226-2038 | 2019-05-29 |
| 1942767280 | Danielle R Wetzel | Nurse Practitioner | 2040 Ogden Ave Ste 215, Aurora, IL 60504-7205 | 2019-02-22 |
| 1669937231 | Colleen Ann Larkin | Nurse Practitioner | 10939 S Troy St, Chicago, IL 60655-2211 | 2019-02-07 |
| 1568939684 | Katelyn Marie Reed | Nurse Practitioner | 415 N 9th St Ste 4w64, Springfield, IL 62702-5303 | 2018-10-26 |
| 1255813218 | Michelle Christine Bollinger | Nurse Practitioner | 415 N 9th St Ste 4w16, Springfield, IL 62702-5303 | 2018-09-05 |
| Find all providers with the same taxonomy | ||||
| City | ARLINGTON HEIGHTS |
| Zip Code | 60005 |
Please comment or provide details below to improve the information on MRS. LYDIA JODREY.
| 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.