Provider Demographics
NPI:1093050130
Name:CARDIN, ALINE MELO (CRNA)
Entity Type:Individual
Prefix:MS
First Name:ALINE
Middle Name:MELO
Last Name:CARDIN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:ALINE
Other - Middle Name:S
Other - Last Name:MELO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:251 E HURON ST # F5-704
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2908
Mailing Address - Country:US
Mailing Address - Phone:786-280-7500
Mailing Address - Fax:
Practice Address - Street 1:251 E HURON ST # F5-704
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2908
Practice Address - Country:US
Practice Address - Phone:786-280-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-30
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209010247367500000X
TX976084163W00000X
FLRN9168711163WC0200X
IL041408131367500000X
TXAP144451367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine