KRYSTLE CORDOVA GADRINAB-JONES (NPI# 1417219437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417219437 |
Entity Type | Individual |
Full Name | KRYSTLE CORDOVA GADRINAB-JONES |
Credential | MD |
Practice Address |
1222 N Eola Rd Ste D Aurora IL 60502 |
Mailing Address |
1222 N Eola Rd Ste D Aurora IL 60502-9505 |
Practice Telephone | 6306466250 |
Mailing Telephone | 6306466250 |
Enumeration Date | 2012-06-14 |
Last Update Date | 2018-08-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 036135982 | IL | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
5207 Main St, 6, Downers Grove, IL 605154652 | 6308104934 |
Street Address |
1222 N EOLA RD STE D |
City | AURORA |
State | IL |
Zip Code | 60502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750816856 | Amanda Robinson | Behavior Technician | 452 Behavioral Perspective, Aurora, IL 60502 | 2017-04-26 |
1982141743 | Kathleen Werrline | Behavior Technician | 452 N Eola Rd A, Aurora, IL 60502 | 2017-01-31 |
1700276094 | Kati Jo Clish | Developmental Therapist | 3138 Whitney Road, Aurora, IL 60502 | 2015-01-26 |
1821430513 | Central Du Page Hospital Assn | Non-Pharmacy Dispensing Site | 2635 Church Rd, Aurora, IL 60502 | 2013-07-23 |
1063794642 | Jimit Baxi | Pharmacist | 2986 Kirk Road, Aurora, IL 60502 | 2011-09-09 |
1154532315 | Dmj Home Health Services, Inc | Home Health | 2720 E. New York St., Suite 120, Aurora, IL 60502 | 2007-05-26 |
1336211770 | Gary Joseph Masterson | Optometrist | 405 North Eola Rd, Suite K, Aurora, IL 60502 | 2006-11-14 |
1760580708 | Deborah J Riddell | Advanced Practice Midwife | 2972 Indian Trail Road, Suite A, Aurora, IL 60502 | 2006-09-21 |
1811001779 | Dinesh J Patel Dds PC | Dentist | 405 N Eola Rd, #l, Aurora, IL 60502 | 2006-08-18 |
1447206123 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 1157 N Eola Rd, Aurora, IL 60502 | 2006-05-25 |
Find all providers in zip 60502 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
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1659988616 | 5280 Medical Concierge Inc | Family Medicine | 2821 S Parker Rd Ste 574, Aurora, CO 80014-2735 | 2020-09-24 |
1144837105 | Dany Vexler Fnp-c LLC | Family Medicine | 2821 S Parker Rd Ste 575, Aurora, CO 80014-2713 | 2020-09-24 |
1477167567 | 247 Doctor | Family Medicine | 22884 E Layton Ave, Aurora, CO 80015-6473 | 2020-09-04 |
1497384564 | Colleen Marie Markham | Family Medicine | 1550 S Potomac St Ste 200, Aurora, CO 80012-5432 | 2020-04-02 |
1477039931 | Augustine Rios | Family Medicine | 1532 Galena St Ste 300, Aurora, CO 80010-2236 | 2018-07-17 |
1114411410 | Unnati Upadhyay | Family Medicine | 2020 Ogden Ave Ste 3302020, Aurora, IL 60504-5894 | 2018-06-20 |
1346763448 | Blue Nile Clinic | Family Medicine | 11275 E Mississippi Ave Ste 2s3, Aurora, CO 80012-2825 | 2017-07-20 |
1346775343 | 5th Ave Family Practice & Cosmetics Pllc | Family Medicine | 2044 Clinton St, Unit B, Aurora, CO 80010-1003 | 2017-04-27 |
1669824694 | Vivirmed LLC | Family Medicine | 630 N Lake St, Aurora, IL 60506-3106 | 2016-07-01 |
1386094332 | Sarah Weinstein | Family Medicine | Academic Office One, #3611, 12631 E 17th Ave, Ms 496, Aurora, CO 80045 | 2016-06-20 |
Find all providers in AURORA |
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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.