MRS. BETTINA BRYDON (NPI# 1710164116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710164116 |
Entity Type | Individual |
Full Name | MRS. BETTINA BRYDON |
Credential | RT |
Practice Address |
2n345 Prairie Ave Glen Ellyn IL 60137-2854 |
Practice Telephone | 6904696028 |
Enumeration Date | 2008-01-28 |
Last Update Date | 2008-02-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 247100000X | Radiologic Technologist | IL | Technologists, Technicians & Other Technical Service Providers |
Street Address |
2N345 PRAIRIE AVE |
City | GLEN ELLYN |
State | IL |
Zip Code | 60137-2854 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023619616 | Hetal Patel | Pharmacist | 3 S 100 Rt 53, Glen Ellyn, IL 60137 | 2020-11-02 |
1285234930 | Arti Rai | Pharmacist | 3s100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
1427658103 | Dimple Zaveri | Pharmacist | 3s 100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
1528668373 | Stephanie Caballero Novak | Social Worker | Life Care Wellness, Inc., 800 Roosevelt Rd Building C Suite 206, Glen Ellyn, IL 60137 | 2020-10-30 |
1669025367 | Christine Marie Penway | Physical Therapist | 854 Roosevelt Rd Unit E10, Glen Ellyn, IL 60137 | 2019-07-22 |
1730652314 | Camille Elizabeth Hawkins | Counselor | 22 W 66 Hackberry, Glen Ellyn, IL 60137 | 2019-01-07 |
1710454939 | Jacquelyn Rose Wescott | Student in an Organized Health Care Education/Training Program | 178 Macintosh Ct., Glen Ellyn, IL 60137 | 2018-10-25 |
1184133985 | Young Men's Christian Association of Northwestern Du Page County | Health Educator | 49 Deicke Drive, Glen Ellyn, IL 60137 | 2017-09-25 |
1447781208 | Neoly Home Care LLC | In Home Supportive Care | N 455 Main Street, Glen Ellyn, IL 60137 | 2017-03-23 |
1205283397 | Dianna Christina Ciardullo | Pharmacist | 599 E Roosevelt Road, Glen Ellyn, IL 60137 | 2016-05-18 |
Find all providers in zip 60137 |
Taxonomy Code | 247100000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609227206 | Kanwarjit Gill | Radiologic Technologist | 8207 Lake St, River Forest, IL 60305-1619 | 2016-06-24 |
1164878328 | Pearl Mawst | Radiologic Technologist | 3212 Vollmer Rd Ste A, Olympia Fields, IL 60461-1122 | 2016-05-06 |
1790178374 | Karen Reely | Radiologic Technologist | 1009 Hunters Trl, Mascoutah, IL 62258-2880 | 2015-03-06 |
1417226853 | Chicago Diagnostic Inc | Radiologic Technologist | 818 N California Ave, Chicago, IL 60622-8336 | 2011-12-14 |
1114167319 | Shaunda Marie Farrington | Radiologic Technologist | 1250 Woodridge Ct, Decatur, IL 62526-1390 | 2009-02-27 |
1609035393 | Curewell Diagnostic Services LLC | Radiologic Technologist | 5502 N Menard Ave, Chicago, IL 60630-1202 | 2008-06-06 |
1073785267 | Patricia Christine Byrne | Radiologic Technologist | 28w489 Warrenville Rd, Warrenville, IL 60555-3435 | 2008-03-27 |
1730218652 | Radiologic Interpretations of Southern Illinois Ltd | Radiologic Technologist | 1200 Cedar Court, Carbondale, IL 62901-5334 | 2007-03-05 |
1770675498 | Northwest Medical Imaging | Radiologic Technologist | 2333 N Harlem Ave, Chicago, IL 60707-2718 | 2006-09-29 |
1992769277 | Mobile Imaging Solutions, Inc. | Radiologic Technologist | 149 Harvest Glenn Dr, Davis Junction, IL 61020-9797 | 2006-04-13 |
Find all providers with the same taxonomy |
City | GLEN ELLYN |
Zip Code | 60137 |
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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.