JENNA BERNDT (NPI# 1528520442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528520442 |
| Entity Type | Individual |
| Full Name | JENNA BERNDT |
| Credential | DO |
| Practice Address |
Loyola University Medical Center 2160 S. First Ave. Maguire 3rd Floor Maywood IL 60153 |
| Mailing Address |
Loyola University Medical Center 2160 S. First Ave Maywood IL 60153 |
| Practice Telephone | 7083279124 |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2020-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 1528520442 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
LOYOLA UNIVERSITY MEDICAL CENTER 2160 S. FIRST AVE. MAGUIRE 3RD FLOOR |
| City | MAYWOOD |
| State | IL |
| Zip Code | 60153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679654040 | Guliz Barkan | Pathology | Loyola University Medical Center, 2160 S First Ave 101 1740, Maywood, IL 60153 | 2006-10-18 |
| 1124598909 | Stela Lapic | Nurse Practitioner | Loyola University Medical Center, 2160 South 1st Avenue, Maywood, IL 60153-3328 | 2018-12-05 |
| 1801389515 | Nicole Mary Raucci | Nurse Practitioner | Loyola University Medical Center, 2160 S. First Avenue, Maywood, IL 60153 | 2018-06-08 |
| 1558867556 | Gregory Joseph Klazura | Surgery | Loyola University Medical Center, 2160 S. First Avenue, Ems Bld. 3210, Maywood, IL 60153 | 2018-03-30 |
| 1700388014 | Luke David Vickers | Dentist | Loyola University Medical Center, 2160 S. First Avenue, Maywood, IL 60153 | 2018-03-02 |
| 1346506839 | Gregory Aubert | Internal Medicine | Loyola University Medical Center, 2160 S 1st Avenue, Maywood, IL 60153 | 2012-04-09 |
| 1366648081 | Lukas M Nystrom | Orthopaedic Surgery | Loyola University Medical Center, 2160 South First Avenue, Maywood, IL 60153-3328 | 2007-06-21 |
| 1326106865 | John F Moran | Internal Medicine | Loyola University Medical Center, (luh - North Ent., Rm7604), Maywood, IL 60153 | 2006-12-05 |
| 1386713725 | Louis G Mercuri | Dentist | Loyola University Medical Center, 2160 S First Ave 101 1740, Maywood, IL 60153 | 2006-11-07 |
| 1497824908 | Mehdat Gabriel | Nuclear Medicine | Loyola University Medical Center, Mcgaw Ent., Rm. 47, Maywood, IL 60153 | 2006-11-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053933077 | Judie Noemie Hoilat | Internal Medicine | 2160 S 1st Avenue, Maywood, IL 60153 | 2020-05-13 |
| 1457972457 | Yuchen Zheng | Student in an Organized Health Care Education/Training Program | Department of Neurology, Loyola University Medical Cent, 2160 S. First Ave, Maywood, IL 60153 | 2020-04-30 |
| 1437779519 | Amna Amad Siddiqui | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 | 2020-04-20 |
| 1982232211 | Brian Kurtz | Student in an Organized Health Care Education/Training Program | 2160 S First Ave, Bulding 105-suite 2840a, Maywood, IL 60153 | 2020-03-31 |
| 1902434947 | Saadiya Jabbar | Psychiatry & Neurology | Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 | 2020-03-27 |
| 1558919472 | Linda Sue Moton | Technician | 10 South 15 Apt. 1, Maywood, IL 60153 | 2019-09-04 |
| 1760047518 | Braden Robert Dasovic | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue Building 105/room 2700, Department, Loyola Medical Center, Maywood, IL 60153 | 2019-05-07 |
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
| 1053871681 | Michael V Padua | Psychiatry & Neurology | 2160 S 1st Ave Bldg, Maywood, IL 60153 | 2019-03-20 |
| Find all providers in zip 60153 | ||||
| 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 |
|---|---|---|---|---|
| 1124372347 | Priya Bhakhri Tandon | Pediatrics | 4943 Slauson Ave, Maywood, CA 90270-3020 | 2012-11-09 |
| 1164504965 | Illur Sathy | Pediatrics | 318 Madison St, Maywood, IL 60153-2151 | 2006-10-20 |
| 1861587073 | Tao Trung Nguyen M.d., Inc | Pediatrics | 6043 Atlantic Blvd., Maywood, CA 90270-3118 | 2006-10-04 |
| 1689693749 | Tao T Nguyen | Pediatrics | 6043 Atlantic Blvd, Maywood, CA 90270-3118 | 2006-07-19 |
| 1043849482 | Katelyn Margaret Campbell | Pediatrics | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-04-07 |
| 1790314896 | Margaret Lynn Caldwell | Pediatrics | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-04-02 |
| 1245868090 | Matthew Russell | Pediatrics | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-03-28 |
| 1447888490 | Crystal Nguyen | Pediatrics | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-03-27 |
| 1265090237 | Elizabeth Dorora Krupa | Pediatrics | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-06-04 |
| 1164085494 | Michael White | Pediatrics | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-04-22 |
| Find all providers in MAYWOOD | ||||
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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.