Tita J Jacildo, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

209002639 Issued in IL

Practice address

3249 Oak Park Ave
Anesthesia Department
Berwyn, IL 60402-3429

Phone

(708) 783-3667

NPI assigned

Jun 30, 2006

Last updated

Feb 13, 2015By the provider in NPPES

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)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medical Center Anesthesia, LTD.

  • Anesthesiology Physician
  • Hoffman Estates, IL
  • NPI 1184689838
  NPD (past)
• MN Anesthesia LLC

  • Anesthesiology Physician
  • Berwyn, IL
  • NPI 1245275726
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1285662858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 FAIR RIDGE DR",
            "address_2": "STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332907",
            "telephone_number": "703-295-9360",
            "fax_number": "703-766-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3249 OAK PARK AVE",
            "address_2": "ANESTHESIA DEPARTMENT",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023429",
            "telephone_number": "708-783-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACILDO",
        "first_name": "TITA",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209002639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Inventor, O.T.
• Madalina Ionescu, MD
• Naveed Syed Iqbal, MD
• Nandhini Balachandran Iyer
• J.V. Discipio, D.D.S. & Assoc., LTD.
• Grazyna Jakubowska, LCSW
• Mairaj Jaleel, MD
• James Janda, RPH
• Linda Rebecca Janota
• Jayantibhai K Patel

• Certified Registered Nurse Anesthetist in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Certified Registered Nurse Anesthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.