TIANA CARRILLO CALDERON (NPI# 1619388923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619388923 |
| Entity Type | Individual |
| Full Name | TIANA CARRILLO CALDERON |
| Other Name | TIANA CARRILLO CALDERON |
| Credential | M.D. |
| Practice Address |
1200 S York St Ste 4140 Elmhurst IL 60126-5630 |
| Practice Telephone | 6305303730 |
| Mailing Telephone | 6305303730 |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036-143425 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 836 W Wellington Ave, Chicago, IL 606575147 | 7739751600 |
| Street Address |
1200 S YORK ST STE 4140 |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-5630 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523190 | Steinway Hope Medical LLC | Family Medicine | 8829 54th Ave Fl 2, Elmhurst, NY 11373-4543 | 2020-09-23 |
| 1013378793 | Primacare Family Medicine Pllc | Family Medicine | 84-25 Elmhurst Ave. Unit P2, Elmhurst, NY 11373 | 2016-03-09 |
| 1740600568 | Kamna Gupta | Family Medicine | 9119 Queens Blvd, Elmhurst, NY 11373-5531 | 2014-04-19 |
| 1376969576 | Stacy Allison Debarros | Family Medicine | 4010 Forley St, Elmhurst, NY 11373-1427 | 2014-03-12 |
| 1023378684 | Odon D. Terrado | Family Medicine | 879 S Washington St, Elmhurst, IL 60126-4844 | 2012-05-16 |
| 1790913580 | Liwen Zhu | Family Medicine | 84-25 Elmhurst Ave., Unit# P2, Elmhurst, NY 11373 | 2009-06-30 |
| 1184875536 | Phillips Family Medical Center Sc | Family Medicine | 242 N York St Ste 106, Elmhurst, IL 60126-2746 | 2008-10-03 |
| 1871752220 | Lisa Berman | Family Medicine | 109 W Adams St, Elmhurst, IL 60126-4873 | 2008-06-02 |
| 1326234402 | Josephine Dwintarti Julian | Family Medicine | 5116 74th St, Elmhurst, NY 11373-4107 | 2007-09-21 |
| 1225228778 | Premier Family Medicine PC | Family Medicine | 86-35 Queens Blvd, 1-e, Elmhurst, NY 11373 | 2007-07-31 |
| Find all providers in ELMHURST | ||||
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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.