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Caroline Demordaunt

Student in an Organized Health Care Education/Training Program in Chicago, IL. Individual provider (NPI-1).

NPI number1457090953
StatusActive
Last updated in NPPESJun 2, 2022

Details

NPI
1457090953
Entity type
Individual (NPI-1)
Name
Caroline Demordaunt
Sex
Female
Sole proprietor
No
Enumeration date
Jun 2, 2022
Certification date
Jun 2, 2022
Last updated
Jun 2, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

240 E Huron St Ste 1-200
Chicago, IL 60611-2909

Phone 312-503-1855

Mailing address

240 E Huron St Ste 1-200
Chicago, IL 60611-2909

Phone 312-503-1855

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Chicago, IL

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