THEODORA ELISE MCCLAIN (NPI# 1467893768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467893768 |
| Entity Type | Individual |
| Full Name | THEODORA ELISE MCCLAIN |
| Practice Address |
6918 Windsor Ave Berwyn IL 60402-3334 |
| Practice Telephone | 7087455277 |
| Practice Fax Number | 7087954834 |
| Mailing Telephone | 7087455277 |
| Mailing Fax Number | 7087954834 |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-07-15 |
| 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 |
| Street Address |
6918 WINDSOR AVE |
| City | BERWYN |
| State | IL |
| Zip Code | 60402-3334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548369077 | Heather Marie Stewart | Social Worker | 6918 Windsor Ave, Berwyn, IL 60402 | 2006-09-21 |
| 1487137329 | Darious Watson | Counselor | 6918 Windsor Ave, N/a, Berwyn, IL 60402 | 2018-09-06 |
| 1831612126 | Bridget Croff | Counselor | 6918 Windsor Ave, Berwyn, IL 60402 | 2017-07-19 |
| 1437583242 | Samantha Ashley Satterthwaite | Student in an Organized Health Care Education/Training Program | 6918 Windsor Ave, Berwyn, IL 60402-3334 | 2013-08-28 |
| 1659712925 | Megan Elizabeth Eyrich | Student in an Organized Health Care Education/Training Program | 6918 Windsor Ave, Berwyn, IL 60402-3334 | 2013-07-15 |
| 1891136107 | Amanda Rachel Raeburn | Student in an Organized Health Care Education/Training Program | 6918 Windsor Ave, Berwyn, IL 60402-3334 | 2013-07-15 |
| 1568803864 | Linda Rebecca Janota | Student in an Organized Health Care Education/Training Program | 6918 Windsor Ave, Berwyn, IL 60402-3334 | 2013-07-15 |
| 1619318912 | Rebecca Annette Ogle | Student in an Organized Health Care Education/Training Program | 6918 Windsor Ave, Berwyn, IL 60402-3334 | 2013-07-15 |
| 1487095790 | Nicole Ann Wujtowicz | Student in an Organized Health Care Education/Training Program | 6918 Windsor Ave, Berwyn, IL 60402-3334 | 2013-07-15 |
| 1831440080 | Angelica Maria Roman | Case Manager/Care Coordinator | 6918 Windsor Ave, Berwyn, IL 60402-3334 | 2012-09-27 |
| Find all providers in the same location | ||||
| 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.