KATRINA CUDAL (NPI# 1053772178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053772178 |
| Entity Type | Individual |
| Full Name | KATRINA CUDAL |
| Practice Address |
396 Remington Blvd Bolingbrook IL 60440-4302 |
| Mailing Address |
1572 Suncrest Ln Bolingbrook IL 60490-3278 |
| Practice Telephone | 6307592966 |
| Mailing Telephone | 7733833203 |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209014009 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
396 REMINGTON BLVD |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60440-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467454124 | Prakash Selvaraj | Ophthalmology | 396 Remington Blvd, Suite 340, Bolingbrook, IL 60440-1732 | 2005-08-12 |
| 1255987707 | Aaron Kim Dpm S.c | Podiatrist | 396 Remington Blvd, Bolingbrook, IL 60440-4302 | 2019-08-12 |
| 1578092227 | Tiffany Applewhite | Registered Nurse | 396 Remington Blvd, Bolingbrook, IL 60440-4302 | 2017-06-07 |
| 1023416625 | Amanda Hunter | Physician Assistant | 396 Remington Blvd, Suite 130, Bolingbrook, IL 60440-4302 | 2014-12-12 |
| 1780014647 | Kelsey Casali | Physician Assistant | 396 Remington Blvd, 240, Bolingbrook, IL 60440-4302 | 2013-11-13 |
| 1811325160 | Adventist Health Partners, Inc | Neurological Surgery | 396 Remington Blvd, Suite 140, Bolingbrook, IL 60440-4302 | 2013-10-24 |
| 1982942306 | Illinois Cancer Specialists | Internal Medicine | 396 Remington Blvd, Ste 141, Bolingbrook, IL 60440-4302 | 2013-01-18 |
| 1811249972 | Vna Health Care | Clinic/Center | 396 Remington Blvd, Bolingbrook, IL 60440-4302 | 2012-10-12 |
| 1497015390 | Usrc Bolingbrook LLC | Clinic/Center | 396 Remington Blvd, Ste 110, Bolingbrook, IL 60440-4302 | 2012-05-24 |
| 1033496344 | Amber Lawrence | Physician Assistant | 396 Remington Blvd, Suite 130, Bolingbrook, IL 60440-4302 | 2011-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1851949150 | Rachel Nicole Weis | Student in an Organized Health Care Education/Training Program | 777 Falconridge Way, Bolingbrook, IL 60440 | 2019-08-29 |
| 1578072815 | Onna Ford-kendrick | Nurse Practitioner | 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 | 2017-09-28 |
| 1891245213 | Megan Lotarski | Specialist/Technologist | 6 Copper Ct, Bolingbrook, IL 60440 | 2016-10-10 |
| 1144775800 | Mitchell Quill | Chiropractor | 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 | 2016-08-23 |
| 1477914125 | Alessia L. Elerby | Specialist | 128 S Cass Ave, Westmont, IL 60440 | 2016-03-09 |
| 1982073821 | Melissa Perkins | Counselor | 511 Preston Drive, Bolingbrook, IL 60440 | 2015-09-22 |
| 1821467754 | Advanced Patient Care, LLC. | Pharmacy | 335-337 Remington Blvd., Bolingbrook, IL 60440 | 2015-09-22 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| 1467864512 | Alice II Salons | Specialist | 311 Quadr,., Bolingbrook, IL 60440 | 2014-05-23 |
| Find all providers in zip 60440 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912517236 | Cynthia Lucio | Nurse Practitioner | 6 Dorchester Ct, Bolingbrook, IL 60440-1110 | 2020-08-01 |
| 1174165096 | Michael Boladas Aligno | Nurse Practitioner | 727 Countryside Dr, Bolingbrook, IL 60490-5459 | 2019-10-11 |
| 1225692080 | Jacinta Chinyere Igbo | Nurse Practitioner | 412 Ingleside Dr, Bolingbrook, IL 60490-3106 | 2019-04-26 |
| 1952808081 | Resmi A George | Nurse Practitioner | 398 S Palmer Dr, Bolingbrook, IL 60490-2040 | 2018-04-06 |
| 1275049694 | Isoken Franca Ogbomo | Nurse Practitioner | 1522 Schafer Ave, Bolingbrook, IL 60490-3230 | 2017-12-21 |
| 1578072815 | Onna Ford-kendrick | Nurse Practitioner | 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 | 2017-09-28 |
| 1063949840 | Treesa J Thomas | Nurse Practitioner | 574 Warbler Dr, Bolingbrook, IL 60440-4200 | 2017-05-11 |
| 1639521669 | Natalie Joann Kalvoda | Nurse Practitioner | 420 Remington Blvd Ste 125, Bolingbrook, IL 60440-4950 | 2016-07-01 |
| 1669845434 | Geraldine Bemabou Ntum | Nurse Practitioner | 1617 Trails End Ln, Bolingbrook, IL 60490-3291 | 2015-11-03 |
| 1518103134 | Helen Mary Muddamalle | Nurse Practitioner | 1900 Marne Rd, Bolingbrook, IL 60490-4597 | 2009-01-02 |
| Find all providers in BOLINGBROOK | ||||
| City | BOLINGBROOK |
| Zip Code | 60440 |
Please comment or provide details below to improve the information on KATRINA CUDAL.
| 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.