Eden U Padilla, M.D.

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

Practice address

Uss Red Rover
Recruit Training Center
Great Lakes, IL 60088

Phone

(847) 688-4909

NPI assigned

Mar 21, 2006

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154380947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 LAINIE CIRCLE",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261226",
            "telephone_number": "847-688-4909",
            "fax_number": "847-688-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USS RED ROVER",
            "address_2": "RECRUIT TRAINING CENTER",
            "city": "GREAT LAKES",
            "state": "IL",
            "postal_code": "60088",
            "telephone_number": "847-688-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "EDEN",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Clifford Olsen, M.D.
• Thet Oo, DDS
• Jennifer Brattland Ota, MD
• James Roland Oxford, D.D.S., M.S.D.
• Charles William Paddock III, D.D.S.
• Stephen Michael Parker, D. D. S.
• Justin Paz, DDS
• Corrie Anne Pearson, RN
• Debra Pennington, CRNP
• Rebecca Perez

• Military Health Care Provider in Great Lakes, IL
• Providers in Great Lakes, IL by specialty
• Military Health Care Provider in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.