MS. SERIN EDWIN ERAYIL (NPI# 1982084240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982084240 |
| Entity Type | Individual |
| Full Name | MS. SERIN EDWIN ERAYIL |
| Other Name | MS. SERIN EDWIN |
| Credential | MD |
| Practice Address |
3249 South Oak Park Ave. Berwyn IL 60402 |
| Practice Telephone | 7087839100 |
| Practice Fax Number | 7087836567 |
| Mailing Telephone | 7087839100 |
| Mailing Fax Number | 7087836567 |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2016-04-27 |
| NPI Deactivation Date | 01/15/2016 |
| NPI Reactivation Date | 2016-04-27 |
| Gender Code | F |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| STUDENT | 39 | 01 |
| Street Address |
3249 SOUTH OAK PARK AVE. |
| City | BERWYN |
| State | IL |
| Zip Code | 60402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306891841 | Farid F Shafaie | Radiology | 3249 South Oak Park Ave., Berwyn, IL 60402 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586518 | Lisa K Anderson-shaw | Clinical Ethicist | Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 | 2020-07-27 |
| 1922622380 | Ayesha Ikram | Internal Medicine | Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 | 2020-06-02 |
| 1598329146 | Eleanor Teoh | Student in an Organized Health Care Education/Training Program | Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 | 2019-04-30 |
| 1376013920 | Virginia Mireles | Behavior Technician | 2317 S. Home, Berwyn, IL 60402 | 2018-11-27 |
| 1245709047 | Saraswati Koirala | Dentist | 1227 S Harlem Ave Apt414, Berwyn, IL 60402 | 2018-11-21 |
| 1295204220 | Dental Town Ltd | Dentist | 7106 W Cermak Rd, Berwyn, IL 60402 | 2018-11-20 |
| 1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
| 1437655685 | Ana Luisa Desantiago | Social Worker | 3245 Grove Ave Ste 201, Berwyn, IL 60402 | 2018-04-04 |
| 1821520198 | Chetan Velagapudi | Student in an Organized Health Care Education/Training Program | 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 | 2017-03-28 |
| 1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
| Find all providers in zip 60402 | ||||
| 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 |
|---|---|---|---|---|
| 1609496405 | Deana M Canaveral | Student in an Organized Health Care Education/Training Program | 2501 Grove Ave, Berwyn, IL 60402-2527 | 2020-04-21 |
| 1346892510 | Shoshanna Sandler | Student in an Organized Health Care Education/Training Program | 6866 Riverside Dr, Berwyn, IL 60402-2230 | 2019-07-09 |
| 1598329146 | Eleanor Teoh | Student in an Organized Health Care Education/Training Program | Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 | 2019-04-30 |
| 1578046298 | Kristin Wasilewski | Student in an Organized Health Care Education/Training Program | 2435 Kenilworth Ave, Berwyn, IL 60402-2546 | 2018-09-09 |
| 1366924680 | Stephanie Paloumpis | Student in an Organized Health Care Education/Training Program | 6537 37th St, Berwyn, IL 60402-4080 | 2018-09-04 |
| 1821520198 | Chetan Velagapudi | Student in an Organized Health Care Education/Training Program | 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 | 2017-03-28 |
| 1245761972 | Hasenin Al-khersan | Student in an Organized Health Care Education/Training Program | 3429 Oak Park Ave, Berwyn, IL 60402-3619 | 2017-03-24 |
| 1912325036 | Linda Tien | Student in an Organized Health Care Education/Training Program | 3231 South Euclid Ave, 5th Floor, Berwyn, IL 60402-3471 | 2014-04-05 |
| 1912519422 | Mary Connelly | Student in an Organized Health Care Education/Training Program | 2435 Kenilworth Ave, Berwyn, IL 60402-2546 | 2020-08-18 |
| 1033731914 | Nicolas Zuniga Penaranda | Student in an Organized Health Care Education/Training Program | 3249 Oak Park Ave, Berwyn, IL 60402-3429 | 2020-05-13 |
| Find all providers in BERWYN | ||||
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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.