Active NPI
Amy Czauderna
- Student in an Organized Health Care Education/Training Program
- Northbrook, IL
National Provider Identifier
1194567537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1135 Skokie Blvd
Northbrook, IL 60062-4118 - Phone
- (847) 441-5600
- NPI assigned
- Jun 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | IL | Primary |
Addresses
Primary practice location
1135 Skokie Blvd
Northbrook, IL 60062-4118
Mailing address
1135 Skokie Blvd
Northbrook, IL 60062-4118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1194567537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 SKOKIE BLVD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600624118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 SKOKIE BLVD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600624118",
"telephone_number": "847-441-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CZAUDERNA",
"first_name": "AMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-07",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.