DEBORAH M BUDRIS (NPI# 1821070442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821070442 |
| Entity Type | Individual |
| Full Name | DEBORAH M BUDRIS |
| Credential | MD |
| Practice Address |
430 Pennsylvania Ave Glen Ellyn IL 60137-4464 |
| Mailing Address |
1860 Paysphere Cir Chicago IL 60674-0018 |
| Practice Telephone | 6304699200 |
| Mailing Telephone | 6304699200 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2011-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036071436 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036071436 | 05 |
| Street Address |
430 PENNSYLVANIA AVE |
| City | GLEN ELLYN |
| State | IL |
| Zip Code | 60137-4464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649277724 | Arun Kumar Samy | Ophthalmology | 430 Pennsylvania Ave, 170, Glen Ellyn, IL 60137-4464 | 2005-07-05 |
| 1528675014 | Theresa Rose Christopher | Occupational Therapist | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | 2020-09-28 |
| 1386115350 | Marissa Lynn Walsh | Physician Assistant | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | 2018-12-16 |
| 1740758317 | Ryan Militzer | Physical Therapist | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | 2018-11-12 |
| 1881148898 | Marissa Gill | Physical Therapist | 430 Pennsylvania Ave, Ste 210, Glen Ellyn, IL 60137-4464 | 2016-08-08 |
| 1285095455 | Julie Fischer | Physical Therapy Assistant | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | 2016-03-15 |
| 1659746980 | Silvana Perri | Physician Assistant | 430 Pennsylvania Ave, 350, Glen Ellyn, IL 60137-4464 | 2015-12-12 |
| 1508103136 | Brock A Gorman | Occupational Therapist | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | 2013-01-16 |
| 1407109739 | Kelli Lynn Madden | Specialist/Technologist, Other | 430 Pennsylvania Ave, Suite 350, Glen Ellyn, IL 60137-4464 | 2012-10-24 |
| 1467701011 | Julie P Kupisch | Physical Therapist | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | 2012-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619616 | Hetal Patel | Pharmacist | 3 S 100 Rt 53, Glen Ellyn, IL 60137 | 2020-11-02 |
| 1285234930 | Arti Rai | Pharmacist | 3s100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1427658103 | Dimple Zaveri | Pharmacist | 3s 100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1528668373 | Stephanie Caballero Novak | Social Worker | Life Care Wellness, Inc., 800 Roosevelt Rd Building C Suite 206, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1669025367 | Christine Marie Penway | Physical Therapist | 854 Roosevelt Rd Unit E10, Glen Ellyn, IL 60137 | 2019-07-22 |
| 1730652314 | Camille Elizabeth Hawkins | Counselor | 22 W 66 Hackberry, Glen Ellyn, IL 60137 | 2019-01-07 |
| 1710454939 | Jacquelyn Rose Wescott | Student in an Organized Health Care Education/Training Program | 178 Macintosh Ct., Glen Ellyn, IL 60137 | 2018-10-25 |
| 1184133985 | Young Men's Christian Association of Northwestern Du Page County | Health Educator | 49 Deicke Drive, Glen Ellyn, IL 60137 | 2017-09-25 |
| 1447781208 | Neoly Home Care LLC | In Home Supportive Care | N 455 Main Street, Glen Ellyn, IL 60137 | 2017-03-23 |
| 1205283397 | Dianna Christina Ciardullo | Pharmacist | 599 E Roosevelt Road, Glen Ellyn, IL 60137 | 2016-05-18 |
| Find all providers in zip 60137 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518223841 | Mohamad Firas Bazerbashi | Radiology | 430 Pennsylvania Ave Ste 110, Glen Ellyn, IL 60137 | 2012-04-11 |
| 1033317383 | Lekshmi Nair | Radiology | 430 Pennsylvania Ave # 110, Glen Ellyn, IL 60137 | 2007-07-10 |
| 1083726319 | Ehsan Safari | Radiology | 430 Pennsylvania Ave, 110, Glen Ellyn, IL 60137-4464 | 2006-08-31 |
| 1043286917 | Mary Lyn Kurland | Radiology | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | 2006-02-28 |
| 1508832544 | Young Kang | Radiology | 454 Pennsylvania Ave, Glen Ellyn, IL 60137-4418 | 2006-02-28 |
| 1619943586 | Michael Lavine | Radiology | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | 2006-02-28 |
| 1477529626 | Kyle Kallenbach | Radiology | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | 2006-02-27 |
| 1295700490 | Linda Gruener | Radiology | 430 Pennsylvania Ave, Glen Ellyn, IL 60137 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376196220 | Parvathamma Imaging Services, LLC | Radiology | 7431 S East End Ave Ste 2, Chicago, IL 60649-3611 | 2019-07-19 |
| 1730652017 | Diaspora Radiology, Sc | Radiology | 2602 Mulberry Ln, Northbrook, IL 60062-5937 | 2019-01-09 |
| 1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
| 1043796543 | Quantum Medical Radiology of California, P.C. | Radiology | 374 W Seminary Ave, Wheaton, IL 60187-5002 | 2018-07-17 |
| 1215429501 | The Open Mri Center | Radiology | 3123 Williamson County Pkwy, Marion, IL 62959-5235 | 2018-06-01 |
| 1649769746 | Envision Medical Imaging, LLC | Radiology | 915 National Pkwy Ste 915-20, Schaumburg, IL 60173-5160 | 2018-05-03 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1710427737 | Dorothea A Nazos | Radiology | 1810 Parkside Dr, Shorewood, IL 60404-0684 | 2017-02-24 |
| 1194275941 | Florida United Radiology, Lc | Radiology | 7 Pear Tree Ct, Charleston, IL 61920-4415 | 2016-10-05 |
| Find all providers with the same taxonomy | ||||
| City | GLEN ELLYN |
| Zip Code | 60137 |
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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.