BRAYTON KIEDROWSKI (NPI# 1770019796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770019796 |
Entity Type | Individual |
Full Name | BRAYTON KIEDROWSKI |
Credential | D.O. |
Practice Address |
7447 W Talcott Ave Chicago IL 60631-3745 |
Practice Telephone | 7737925155 |
Enumeration Date | 2017-05-11 |
Last Update Date | 2017-05-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
7447 W TALCOTT AVE |
City | CHICAGO |
State | IL |
Zip Code | 60631-3745 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518960145 | Paul J Toussaint | Pediatrics | 7447 W Talcott Ave, Ste 467, Chicago, IL 60631-3715 | 2005-05-27 |
1194344721 | Alvin Au-yeung | Student in an Organized Health Care Education/Training Program | 7447 W Talcott Ave, Chicago, IL 60631-3745 | 2020-04-14 |
1639680267 | Jeffrey Moorhead | Physical Therapist | 7447 W Talcott Ave, Ste 500, Chicago, IL 60631-3716 | 2017-10-23 |
1750818555 | Amber Ijaz | Family Medicine | 7447 W Talcott Ave, Resurrection Family Medicine, Ste. 182, Chicago, IL 60631-3745 | 2017-05-11 |
1548796683 | Jordan Oneill | Student in an Organized Health Care Education/Training Program | 7447 W Talcott Ave, Resurrection Family Medicine Suite 182, Chicago, IL 60631-3745 | 2017-05-10 |
1588190821 | Asha Anne | Student in an Organized Health Care Education/Training Program | 7447 W Talcott Ave, Resurrection Family Medicine Ste. 182, Chicago, IL 60631-3745 | 2017-05-05 |
1033644992 | Caryn Rachel Olshansky | Physician Assistant | 7447 W Talcott Ave, Suite 425, Chicago, IL 60631-3745 | 2017-04-27 |
1982139945 | Sabina Antonina Gal | Counselor | 7447 W Talcott Ave, Suite 448, Chicago, IL 60631-3745 | 2017-04-27 |
1538512934 | Aneta Zima | Nurse Practitioner | 7447 W Talcott Ave, Suite 248, Chicago, IL 60631-3745 | 2016-07-20 |
1023465655 | Kathryn Skolarz Mdpc | Family Medicine | 7447 W Talcott Ave, Suite 366, Chicago, IL 60631-3745 | 2016-05-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427686609 | Martha Agnes Bissing | Student in an Organized Health Care Education/Training Program | Resurrection Medical Education, Karen Dwulat, 7435 W. Talcott Avenue, Chicago, IL 60631 | 2020-04-01 |
1497383434 | Kathryn Lee Hughes | Student in an Organized Health Care Education/Training Program | 7435 W Talcott Avenue, Medical Education, Karen Dwulat, Chicago, IL 60631 | 2020-03-27 |
1245723121 | Thomas Walsh | Student in an Organized Health Care Education/Training Program | Resurrection Family Medicine 7447 W Talcott Ave, Ste 182, Chicago, IL 60631 | 2018-06-14 |
1912411893 | Briggs Therapy Group, LLC | Social Worker | 6645 N Oliphant Ave Ste F, Chicago, IL 60631 | 2017-11-29 |
1013467257 | Elsa Methipara | Nurse Practitioner | 6429 N Ogallah, Chicago, IL 60631 | 2016-10-12 |
1477001766 | Djje Holdings LLC | Psychologist | 8609 W Bryn Mawr Ave Ste 204, Chicago, IL 60631 | 2016-09-14 |
1538512884 | Sprout Pediatric Dentistry | Dentist | 6036 North Northwest Highway, Chicago, IL 60631 | 2016-07-21 |
1417305137 | Christopher Louis Scodeller | Emergency Medicine | 7435 W. Talcott A, Presence Resurrection Medical Center, Chicago, IL 60631 | 2016-06-03 |
1518315464 | Corbin Barwegen | Emergency Medicine | 7435 W. Talcott Ave., Chicago, IL 60631 | 2016-06-01 |
1013304724 | Elliott T. Deweese | Dentist | 7447 W Talcott Ave., Suite 227, Chicago, IL 60631 | 2015-04-20 |
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Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205443975 | Nickolas Armstrong | Student in an Organized Health Care Education/Training Program | 2828 N Pine Grove Ave Apt 618, Chicago, IL 60657-6137 | 2020-09-28 |
1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
1275146599 | Ryan Mather | Student in an Organized Health Care Education/Training Program | 155 N Michigan Ave Ste 566, Chicago, IL 60601-7799 | 2020-08-26 |
1831701010 | Alexandra Klonis | Student in an Organized Health Care Education/Training Program | 676 N Saint Clair St Ste 6-108, Chicago, IL 60611-2927 | 2020-08-19 |
1851903389 | Brittney Christine Evans | Student in an Organized Health Care Education/Training Program | 1901 N Clybourn Ave Ste 302&304, Chicago, IL 60614-5090 | 2020-08-17 |
1205446358 | Kai Lai Chu | Student in an Organized Health Care Education/Training Program | 600 N Fairbanks Ct Unit 3505, Chicago, IL 60611-5869 | 2020-08-04 |
1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
1407474463 | Madison Nicole Schulenberg | Student in an Organized Health Care Education/Training Program | 1111 W 14th Pl Unit 119, Chicago, IL 60608-2796 | 2020-07-07 |
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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.