MS. DEBORA ESTER WALDER


Address: 6809 S Carpenter St, Chicago, IL 60621-1131
Phone: 7735500131

MS. DEBORA ESTER WALDER (NPI# 1427564947) 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) 1427564947
Entity Type Individual
Full Name MS. DEBORA ESTER WALDER
Other Name DEBORA ESTHER HUDSON
Credential BA
Practice Address 6809 S Carpenter St
Chicago
IL 60621-1131
Mailing Address 6809 So.carpenter
6535 So.kedzie
Chicago
IL 60621
Practice Telephone 7735500131
Practice Fax Number 7737780018
Mailing Telephone 7735500131
Mailing Fax Number 7737780018
Enumeration Date 2017-12-20
Last Update Date 2017-12-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 373H00000X Day Training/Habilitation Specialist IL Nursing Service Related Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL CIGNA NETWORK 103442936 01

Office Location

Street Address 6809 S CARPENTER ST
City CHICAGO
State IL
Zip Code 60621-1131

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1194127787 Aaa-1 Transportation Secured Medical Transport (VAN) 5740 S Emerald Ave, Chicago, IL 60621 2014-09-25
1871893859 Anuj Jain Family Medicine 6508 S Halsted Street, Chicago, IL 60621 2010-10-25
1750538104 Adolfo M. Maglaya, M.d., S.c. Internal Medicine 326 W. 64th St., Chicago, IL 60621 2008-08-27
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Taxonomy Information

Taxonomy Code 373H00000X
Grouping Nursing Service Related Providers
Classification Day Training/Habilitation Specialist

Taxonomy Definition

Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1386133726 Montina Marshall Day Training/Habilitation Specialist 10 Brandonwood Dr, O Fallon, IL 62269-1208 2018-05-01
1033519426 Laconda Sesson Day Training/Habilitation Specialist 520 Thornwood Dr, South Holland, IL 60473-3462 2014-09-04
1093983348 Malgorzata Monika Rybka-o'malley Day Training/Habilitation Specialist 1268 North Ave., Highland Park, IL 60035 2008-02-20
1538289087 Denise Joanne Ambuehl Day Training/Habilitation Specialist Rr 2 Box 227, Mulberry Grove, IL 62262-9305 2007-03-29
1568940971 Carol June Easley Day Training/Habilitation Specialist 121 E 2nd St, Beardstown, IL 62618-1263 2018-07-30
1548748965 Allison J Coatney Day Training/Habilitation Specialist 121 E 2nd St, Beardstown, IL 62618-1263 2018-07-30
1306348719 Chere Danielle Shaner Day Training/Habilitation Specialist 121 E 2nd St, Beardstown, IL 62618-1263 2018-03-01
1538661178 Robin A Days Day Training/Habilitation Specialist 121 E 2nd St, Beardstown, IL 62618-1263 2018-02-28
1215436100 Julie Kathleen Hester Day Training/Habilitation Specialist 121 E 2nd Street, Beardstown, IL 62618-1263 2018-02-06
1003329897 Emily Fencl Day Training/Habilitation Specialist 1835 W Central Rd, Arlington Heights, IL 60005-2410 2017-11-15
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Competitor

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City CHICAGO
Zip Code 60621

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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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