Provider Demographics
NPI:1831963198
Name:PADILLA, AILYN L (NP)
Entity type:Individual
Prefix:MRS
First Name:AILYN
Middle Name:L
Last Name:PADILLA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:AILYN
Other - Middle Name:P
Other - Last Name:PADILLA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:2443 WARRENVILLE RD STE 500
Mailing Address - Street 2:
Mailing Address - City:LISLE
Mailing Address - State:IL
Mailing Address - Zip Code:60532-4356
Mailing Address - Country:US
Mailing Address - Phone:630-303-1534
Mailing Address - Fax:
Practice Address - Street 1:2443 WARRENVILLE RD STE 500
Practice Address - Street 2:
Practice Address - City:LISLE
Practice Address - State:IL
Practice Address - Zip Code:60532-4356
Practice Address - Country:US
Practice Address - Phone:630-303-1534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209028694363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology