| Doctor Name: | NENITA P CUDIAMAT |
| NPI Number: | 1174787394 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 041209196 |
| Business Practice Address: | 668 Warwick Dr Carol Stream, IL - 601884332 |
| Business Phone Number: | 6304838756 |
| Business Fax Number: | |
| Mailing Address: | 668 Warwick Dr, CAROL STREAM |
| State: | IL |
| Postal Code: | 601884332 |
| Phone Number: | 6304838756 |
| Fax Number: | |
| NPI Enumeration Date: | 07/16/2008 |
| NPI Last Update Date: | 07/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 041209196 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |