Individual
MS. AMY GRACE BARUDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
525 TURNER AVE, GLEN ELLYN, IL 60137-5007
(312) 371-5162
(630) 489-9621
Mailing address
525 TURNER AVE, GLEN ELLYN, IL 60137-5007
(312) 371-5162
(630) 489-9621
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209007812
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
920540
MEDICARE PTAN (GROUP)
IL
01
—
F400256916
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
10/19/2009
Last updated
10/02/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us