| NPI | 1205162781 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2009-10-19 |
| Last Updated | 2025-10-02 |
| Mailing Address | 525 Turner Ave Glen Ellyn, IL 60137-5007 United States Phone: (312) 371-5162 | Fax: (630) 489-9621 📍 View Map |
| Primary Practice Address | 525 Turner Ave Glen Ellyn, IL 60137-5007 United States Phone: (312) 371-5162 | Fax: (630) 489-9621 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | IL | 920540 | Medicare PTAN (Group) |
| Other (non-Medicare) | IL | F400256916 | Medicare PTAN (individual) |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 363L00000X – Nurse Practitioner | IL | 209007812 |
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About NPI 1205162781
Amy Grace Barudin NP is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1205162781. The primary specialty listed is Nurse Practitioner. The provider is located in Glen Ellyn, IL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-10-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1205162781?
NPI 1205162781 belongs to Amy Grace Barudin NP, a Nurse Practitioner in Glen Ellyn, IL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1205162781 active?
The current status of NPI 1205162781 in the NPPES registry is Active. The record was last updated on 2025-10-02.
What specialty is NPI 1205162781?
NPI 1205162781 is classified under the taxonomy Nurse Practitioner. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1205162781?
You can verify NPI 1205162781 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1205162781?
The primary practice address on file for NPI 1205162781 is 525 Turner Ave, Glen Ellyn, IL 60137-5007. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1205162781 issued?
NPI 1205162781 was first issued (enumerated) on 2009-10-19. The NPPES record was last updated on 2025-10-02.
Practice Location Map
Amy Grace Barudin is located at 525 Turner Ave, Glen Ellyn, IL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Amy Grace Barudin. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1205162781. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Nurse Practitioner | 209007812 | IL |