Active NPI
Emily Kuderna
- Developmental Therapist
- Lombard, IL
National Provider Identifier
1336558170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- 2284174
- Practice address
- 21 W. 315 Audubon Road
Lombard, IL 60148 - Phone
- (630) 674-6662
- NPI assigned
- Aug 6, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 2284174 | IL | Primary |
Addresses
Primary practice location
21 W. 315 Audubon Road
Lombard, IL 60148
Mailing address
899 S Addison Ave
Lombard, IL 60148
Phone (630) 674-6662
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2284174 | IL | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486080000000",
"number": "1336558170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "899 S ADDISON AVE",
"city": "LOMBARD",
"state": "IL",
"postal_code": "60148",
"telephone_number": "630-674-6662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 W. 315 AUDUBON ROAD",
"city": "LOMBARD",
"state": "IL",
"postal_code": "60148",
"telephone_number": "630-674-6662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUDERNA",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-06",
"last_updated": "2017-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "IL",
"license": "2284174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.