BRAYTON KIEDROWSKI


Address: 7447 W Talcott Ave, Chicago, IL 60631-3745
Phone: 7737925155

BRAYTON KIEDROWSKI (NPI# 1770019796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 7447 W TALCOTT AVE
City CHICAGO
State IL
Zip Code 60631-3745

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
Find all providers in CHICAGO

Competitor

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City CHICAGO
Zip Code 60631

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Dataset Information

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.

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