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MR. TYLER GEORGE VAJDIC
NPI 1457007254
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since March 01, 2022PECOS Enrolled
1738 WEST HURON STREET, APARTMENT 1F, CHICAGO, IL 60622(847) 504-6530 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Tyler George Vajdic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TYLER GEORGE VAJDIC (NPI 1457007254) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457007254
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. TYLER GEORGE VAJDIC
Location Address1738 WEST HURON STREET, APARTMENT 1FChicago, IL 60622
Mailing Address1738 West Huron Street, Apartment 1fChicago, IL 60622 · (847) 504-6530
Phone(847) 504-6530
Sole ProprietorNo
Enumeration DateMarch 1, 2022
NPPES CertifiedMarch 1, 2022
✔ NPI 1457007254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1738 WEST HURON STREET, Chicago, IL 60622
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Tyler George Vajdic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Vajdic's NPI number?

The NPI number for Tyler Vajdic is 1457007254. It was assigned to this individual provider in the NPPES registry on March 1, 2022.

Where is Tyler Vajdic located?

Tyler Vajdic practices at 1738 West Huron Street Apartment 1F, Chicago, IL 60622. The listed phone number is (847) 504-6530.

What is Tyler Vajdic's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tyler Vajdic enrolled in Medicare?

Yes. Tyler Vajdic is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tyler Vajdic was last updated on March 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.