Erin Samantha Tudisco

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1408 Sequoia Cir
Yorkville, IL 60560-9152

Phone

(630) 449-8117

NPI assigned

Feb 6, 2019

Sex

Female

Sole proprietor

No

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": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1114482965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 SEQUOIA CIR",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605609152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 SEQUOIA CIR",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605609152",
            "telephone_number": "630-449-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUDISCO",
        "first_name": "ERIN",
        "middle_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dulce Consuelo Torres, M.S., CCC-SLP
• Jennifer Townsend, PT
• Megan Lynn Tracy
• Wendy J Tredennick
• Tricounty Ambulatory Center, P.C.
• Jenny Ugalde
• Kelleen M Urbon
• Alyssa Valbert-Olin
• Jacqueline Van Fleet, PHARMD
• Noah Vanderhei, PA-C

• Student in an Organized Health Care Education/Training Program in Yorkville, IL
• Providers in Yorkville, IL by specialty
• Student in an Organized Health Care Education/Training Program in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.