Provider Demographics
NPI:1952119588
Name:CORRADINO, ELEANOR CLARE (APRN, RN)
Entity type:Individual
Prefix:MRS
First Name:ELEANOR
Middle Name:CLARE
Last Name:CORRADINO
Suffix:
Gender:F
Credentials:APRN, RN
Other - Prefix:
Other - First Name:ELEANOR
Other - Middle Name:CLARE
Other - Last Name:HEARRIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:22162 YATES AVE
Mailing Address - Street 2:
Mailing Address - City:SAUK VILLAGE
Mailing Address - State:IL
Mailing Address - Zip Code:60411-5149
Mailing Address - Country:US
Mailing Address - Phone:773-569-1017
Mailing Address - Fax:
Practice Address - Street 1:22162 YATES AVE
Practice Address - Street 2:
Practice Address - City:SAUK VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60411-5149
Practice Address - Country:US
Practice Address - Phone:773-569-1017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-30
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041442119163WP0808X
IL209031826363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health