DR. EDEN AMBITO BAUTISTA-ORDONEZ (NPI# 1528024478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528024478 |
| Entity Type | Individual |
| Full Name | DR. EDEN AMBITO BAUTISTA-ORDONEZ |
| Other Name | DR. EDEN B. ORDONEZ |
| Credential | M.D. |
| Practice Address |
2340 S Highland Ave Suite 150 Lombard IL 60148-5371 |
| Practice Telephone | 6309322015 |
| Practice Fax Number | 6309321589 |
| Mailing Telephone | 6309322015 |
| Mailing Fax Number | 6309321589 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2008-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | IL | Allopathic & Osteopathic Physicians |
| Street Address |
2340 S HIGHLAND AVE SUITE 150 |
| City | LOMBARD |
| State | IL |
| Zip Code | 60148-5371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417939323 | Gregory C Castello | Family Medicine | 2340 S Highland Ave, Suite 370, Lombard, IL 60148-5371 | 2005-11-16 |
| 1407391212 | Davena Janeen Beal | Nurse Practitioner | 2340 S Highland Ave, Suite 300, Lombard, IL 60148-5371 | 2017-01-03 |
| 1992247084 | Othman Orthodontics Inc | Dentist | 2340 S Highland Ave, Ste 310, Lombard, IL 60148-5371 | 2016-11-07 |
| 1811356215 | Dupage Medical Group, Ltd. | Prosthetic/Orthotic Supplier | 2340 S Highland Ave, Lombard, IL 60148-5371 | 2016-02-15 |
| 1265858013 | Marian Glenn | Nurse Practitioner | 2340 S Highland Ave, Suite 300, Lombard, IL 60148-5371 | 2014-03-17 |
| 1033542535 | Adventist Health Partners, Inc | Family Medicine | 2340 S Highland Ave, Suite 370, Lombard, IL 60148-5371 | 2013-08-20 |
| 1063852895 | Amazehealth Weight Loss & Wellness, Sc | Family Medicine | 2340 S Highland Ave, Suite 370, Lombard, IL 60148-5371 | 2013-06-25 |
| 1629415757 | Dr. Nicole Kott Ltd | Dentist | 2340 S Highland Ave, Suite 320, Lombard, IL 60148-5371 | 2013-05-30 |
| 1811266026 | Erin Valentino | Physician Assistant | 2340 S Highland Ave, Ste 370, Lombard, IL 60148-5371 | 2011-12-16 |
| 1649567231 | Fazal Ahmed Md PC | Psychologist | 2340 S Highland Ave, Suite 370, Lombard, IL 60148-5371 | 2011-07-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336778919 | Alish Kuply | Pharmacist | 2050 S Finley Rd Suite 20, Lombard, IL 60148 | 2020-04-06 |
| 1114567880 | Danielle Slansky | Speech-Language Pathologist | 401 N. Main St, Lombard, IL 60148 | 2020-01-10 |
| 1245715572 | Ellen Mary Corey | Behavior Technician | 627 S Grace St., Lombard, IL 60148 | 2018-10-02 |
| 1194204461 | Vip 2u, Inc | Internal Medicine | 477 E Butterfield Rd Ste 400, Lombard, IL 60148 | 2018-08-08 |
| 1881185684 | Samantha Lanagan | Behavior Technician | 21 W 356 Sidney Ave, Lombard, IL 60148 | 2018-05-29 |
| 1629570114 | Iris Victoria Goss | Hearing Instrument Specialist | 412 E. Roosevelt Rd, Lombard, IL 60148 | 2018-03-01 |
| 1780102350 | Richard Wong | Dentist | 845 S. Main St #300, Lombard, IL 60148 | 2017-09-05 |
| 1033637038 | Lora Lea Biesenkamp | Counselor | 450 E 22nd St Ste 150-17, Lombard, IL 60148 | 2017-08-30 |
| 1609392836 | Shafiq Ur Rehman | Specialist/Technologist, Other | 2005 South Finley Rd Unit 1012, Lombard, IL 60148 | 2017-08-18 |
| 1033642715 | Great Lakes Living Solutions Corp. | Home Health | 477 E. Butterfield Rd., Suite Ll005, Lombard, IL 60148 | 2017-04-09 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336350560 | Zakia Salam Zaman | Pediatrics | 1196 S Main St Ste F, Lombard, IL 60148-3939 | 2007-05-28 |
| 1356498083 | Shivani Sikand | Pediatrics | 2165 S Finley Rd, #1306, Lombard, IL 60148-6474 | 2007-01-04 |
| 1154382117 | Mark Weiss | Pediatrics | 500 E 22nd St, Ste D, Lombard, IL 60148-6110 | 2006-03-30 |
| 1427120849 | Shahida Tanveer | Pediatrics | 130 S Main St, Suite 304, Lombard, IL 60148-2670 | 2006-11-14 |
| 1962455790 | Hemlata S. Limaye | Pediatrics | 805 S Main St, Lombard, IL 60148-3300 | 2006-05-19 |
| 1679522668 | Qudsia Hyder-zaheer | Pediatrics | 1196 S Main St, Unit F, Lombard, IL 60148-3951 | 2006-05-08 |
| 1821054164 | Sun Kuang Lin | Pediatrics | 2340 S Highland Ave, Lombard, IL 60148-5371 | 2006-04-25 |
| 1689630071 | Varsha J Shah | Pediatrics | 2340 S Highland Ave, 150, Lombard, IL 60148-5371 | 2006-04-25 |
| 1427013689 | Rodolfo Ayson Sarmiento | Pediatrics | 2340 S Highland Ave, Suite 150, Lombard, IL 60148-5371 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494364 | Mebe Illinois | Pediatrics | 825 S Waukegan Rd Ste A8, Lake Forest, IL 60045-2665 | 2020-10-15 |
| 1326656125 | Kids Pediatrics Ltd | Pediatrics | 288 W Loop Rd, Wheaton, IL 60189-2034 | 2020-07-17 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1780200865 | Kuang Chuen Liu | Pediatrics | 530 Ne Glen Oak Ave, Peoria, Peoria, IL 61637 | 2020-06-24 |
| 1487277596 | Kali Ann Kramolis | Pediatrics | 5841 S Maryland Ave Rm K155, Chicago, IL 60637-1443 | 2020-05-22 |
| 1578186839 | Katie Michelle Stapleton | Pediatrics | Osf St Francis Medical Center 530 Ne Glen Oak Avenue, Peoria, IL 61637-0001 | 2020-05-21 |
| 1467074492 | Kinnera Are | Pediatrics | 400 N 9th St Ste 4a, Springfield, IL 62702-5310 | 2020-05-13 |
| 1053932673 | Jain Pediatrics LLC | Pediatrics | 33 N Addison Rd Ste 106, Addison, IL 60101-3843 | 2020-05-05 |
| 1164050670 | Sruti Uppuluri | Pediatrics | 1675 Dempster St Ste 330, Park Ridge, IL 60068-1110 | 2020-03-30 |
| 1386272086 | Jane Bialek | Pediatrics | 5841 S Maryland Ave # Mc1502, Chicago, IL 60637-1443 | 2020-03-29 |
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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.