Erika Cristal Mandujano

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Practice address

707 Fotis Dr Apt 7
Dekalb, IL 60115-6565

Phone

(815) 503-1143

NPI assigned

Mar 1, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1043750680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 FOTIS DR APT 7",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601156565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 FOTIS DR APT 7",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601156565",
            "telephone_number": "815-503-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDUJANO",
        "first_name": "ERIKA",
        "middle_name": "CRISTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Maki
• Carlos Maldonado Garcia, APRN, CNP
• Shannon Malik
• Kaela Malloe
• Satya P Manam, M.D.
• Fara Maniaci, L.M.T.
• Ibrahim Naim Mansour, MD
• David M Manuel, MD
• Tekyla Manuel
• Derek J Maratea, PA-C

• Nurse's Aide in Dekalb, IL
• Providers in Dekalb, IL by specialty
• Nurse's Aide in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.