JOSEPH ROUDEZ III (NPI# 1578001715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578001715 |
| Entity Type | Individual |
| Full Name | JOSEPH ROUDEZ III |
| Practice Address |
555 Hickok Ave University Park IL 60484-3037 |
| Mailing Address |
607 Hickok Ave University Pk IL 60484-3020 |
| Practice Telephone | 7083239668 |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | R3204856221 | IL | Other Service Providers |
| Street Address |
555 HICKOK AVE |
| City | UNIVERSITY PARK |
| State | IL |
| Zip Code | 60484-3037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447898721 | Sophia Bracey | Registered Nurse | 443 Fairway Ct, University Park, IL 60484 | 2019-12-17 |
| 1225671019 | Colin D Kirchner | Counselor | 540 Circle Dr, University Park, IL 60484 | 2019-10-23 |
| 1437560505 | This Little Light | Durable Medical Equipment & Medical Supplies | 439 Doral Ter, University Park, IL 60484-2712 | 2014-05-12 |
| 1396232633 | Heather Williams | Chore Provider | 1 Thornwood Mall, University Park, IL 60484-2725 | 2018-04-20 |
| 1003205279 | Theresia Fonge | Non-emergency Medical Transport (VAN) | 4790 Hickory Creek Dr, Apt 8, University Park, IL 60484-2740 | 2015-01-12 |
| 1427366764 | Rupel Emmanuel Marshall Jr. | Pharmacist | 437 Brassie Ln, University Park, IL 60484-2775 | 2010-09-21 |
| 1972949261 | Lida Stewart | Developmental Therapist | 430 Brassie Ct, University Park, IL 60484-2777 | 2013-05-14 |
| 1053897736 | Grand Prairie Services | Clinic/Center | 759 Burr Oak Ln, University Park, IL 60484-2865 | 2018-07-16 |
| 1881086999 | Kay-kaymonique Pena | Social Worker | 706 Circle Dr, University Park, IL 60484-2907 | 2015-02-26 |
| 1174862213 | Norman Mays | Private Vehicle | 733 Union Dr, University Park, IL 60484-2918 | 2013-02-09 |
| Find all providers in zip 60484 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958607 | Letisha Smith | Contractor | 1921 Michigan City Rd Apt 1e, Calumet City, IL 60409-3724 | 2020-09-29 |
| 1184249088 | Yanko I Stoykov | Contractor | 1807 W Locust Ln, Mt Prospect, IL 60056-4405 | 2020-06-16 |
| 1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
| 1245864784 | Kendall Divante Leonard | Contractor | 524 N Roberts Dr Apt 2b, Glenwood, IL 60425-2300 | 2020-02-24 |
| 1477185379 | Azar Garayev | Contractor | 300 Hudson Ct Apt 106, Wheeling, IL 60090-3184 | 2020-02-07 |
| 1578031183 | Yesenia Servin | Contractor | 2 Westbrook Corporate Ctr Ste 600, Westchester, IL 60154-5716 | 2018-11-13 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1225528524 | Tara Rada Nieberding | Contractor | 1701 Quincy Ave Ste 12, Naperville, IL 60540 | 2018-05-14 |
| 1710482542 | Lanisha Blockmon | Contractor | 8214 S Evans Ave, Chicago, IL 60619-5306 | 2018-03-25 |
| 1487157913 | Stavone Mcherron | Contractor | 3420 Fountainbleau Dr, Hazel Crest, IL 60429-2257 | 2018-03-12 |
| Find all providers with the same taxonomy | ||||
| City | UNIVERSITY PARK |
| Zip Code | 60484 |
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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.