Active NPI
Judy Carol Rodino, CRNA
- Certified Registered Nurse Anesthetist
- Chicago, IL
National Provider Identifier
1871721324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209000566
- Practice address
- 2300 Children'S Plaza
Children'S Memorial Hospital
Chicago, IL 60614-3363 - Phone
- (773) 880-4414
- NPI assigned
- Jun 23, 2009
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209000566 | IL | Primary |
Addresses
Primary practice location
2300 Children'S Plaza
Children'S Memorial Hospital
Chicago, IL 60614-3363
Mailing address
1516 N State Pkwy
Apt14A
Chicago, IL 60610-1677
Phone (312) 751-2815
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| STATE LICENSE | Other | IL | 209000566 |
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 |
|---|---|---|---|
| 209000566 | IL | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245715200000",
"number": "1871721324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1516 N STATE PKWY",
"address_2": "APT14A",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606101677",
"telephone_number": "312-751-2815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 CHILDREN'S PLAZA",
"address_2": "CHILDREN'S MEMORIAL HOSPITAL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606143363",
"telephone_number": "773-880-4414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODINO",
"first_name": "JUDY",
"middle_name": "CAROL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-23",
"last_updated": "2009-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209000566",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "209000566",
"identifier": "STATE LICENSE",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.