DR. SUSAN SHAPIRO BRAITHWAITE (NPI# 1093793937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093793937 |
| Entity Type | Individual |
| Full Name | DR. SUSAN SHAPIRO BRAITHWAITE |
| Credential | M.D. |
| Practice Address |
3048 W Peterson Ave Chicago IL 60659-3720 |
| Mailing Address |
1135 Ridge Rd Wilmette IL 60091-1567 |
| Practice Telephone | 7733810517 |
| Practice Fax Number | 7733810617 |
| Mailing Telephone | 8479064910 |
| Enumeration Date | 2005-12-31 |
| Last Update Date | 2016-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036-043292 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
036-043292 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN | F400165250 | 01 |
| Street Address |
3048 W PETERSON AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60659-3720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536286 | Arnold L. Levin | Internal Medicine | 3048 W Peterson Ave, Chicago, IL 60659-3720 | 2005-05-23 |
| 1366843682 | Endocrinology Consults and Care Service Corporation | Internal Medicine | 3048 W Peterson Ave, Chicago, IL 60659-3720 | 2014-09-05 |
| 1326356338 | Proper Care Ltd | Internal Medicine | 3048 W Peterson Ave, Chicago, IL 60659-3720 | 2010-09-24 |
| 1962502807 | Drs Farby Levin and Associates Ltd | Specialist | 3048 W Peterson Ave, Chicago, IL 60659-3720 | 2006-09-22 |
| 1346294642 | Judy Joseph | Internal Medicine | 3048 W Peterson Ave, Chicago, IL 60659-3720 | 2006-05-20 |
| 1750368312 | Marina Amusin | Internal Medicine | 3048 W Peterson Ave, Chicago, IL 60659-3720 | 2005-12-26 |
| 1972504454 | Gerald M. Farby | Internal Medicine | 3048 W Peterson Ave, Chicago, IL 60659-3720 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811425 | Devon Homecare Physicians Inc. | Family Medicine | 2822 W. Granville Ave. Apt 1, Chicago, IL 60659 | 2020-11-03 |
| 1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
| 1508410069 | Kara Lyn Anderson | Counselor | 2551 W. Peterson Ave, Chicago, IL 60659 | 2019-08-01 |
| 1568980019 | Saba Suleman | Counselor | 5815 N Spaulding Ave Apt 3a, Chicago, IL 60659 | 2017-09-05 |
| 1639695257 | Go Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5862 N Lincoln Ave, Suite 4, Chicago, IL 60659 | 2017-08-15 |
| 1972039568 | Trilogy, Inc. | Community/Behavioral Health | 2551 W Peterson Ave, Chicago, IL 60659 | 2017-05-03 |
| 1689029050 | Soulu | Voluntary or Charitable | 3557 W Peterson Ave #122, Chicago, IL 60659 | 2016-05-04 |
| 1730540550 | Michael Wei-tsi Chien | Dentist | 3425 W Peterson Ave Ste 107, Chicago, IL 60659 | 2016-03-08 |
| 1497129688 | Acquaint Homecare LLC | Home Health | 3525 West Peterson Avenue, Unit 118, Chicago, IL 60659 | 2015-11-25 |
| 1083054621 | Rebecca Schnell | Speech-Language Pathologist | 6124 N Saint Louis Ave, Chicago, IL 60659 | 2013-06-27 |
| Find all providers in zip 60659 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356961304 | Wahid Kassar Md Ltd | Internal Medicine | 7447 W Talcott Ave Ste 444, Chicago, IL 60631-3715 | 2020-04-20 |
| 1356861496 | Javier Alcid Duron Tabora | Internal Medicine | 1725 W Harrison St Ste 250-a, Chicago, IL 60612-3841 | 2017-06-20 |
| 1336676923 | Villagemd Indiana, PC | Internal Medicine | 1 N Franklin St Ste 1205, Chicago, IL 60606 | 2017-05-15 |
| 1174975601 | Bilal Shaikh | Internal Medicine | 1750 W Harrison St Ste 250, Chicago, IL 60612 | 2016-07-08 |
| 1316396294 | Melissa Faye Cohen | Internal Medicine | 835 S. Wolcott Street, Suite E625, M/c 640, Chicago, IL 60612 | 2016-06-10 |
| 1649618455 | Laura Thomason Dickens | Internal Medicine | 5758 S Maryland Ave # Mc1027, Chicago, IL 60637-1426 | 2013-06-13 |
| 1447593223 | Pinky Kurani | Internal Medicine | 2315 E 93rd St Ste 440, Chicago, IL 60617 | 2013-03-31 |
| 1255610622 | Farheen Kassim Dojki | Internal Medicine | 1801 W Taylor St Ste 1c, Chicago, IL 60612-4795 | 2011-08-16 |
| 1518282847 | Victoria Trendafilova | Internal Medicine | 835s Wolcott Ave 625e, Chicago, IL 60612-3748 | 2010-03-30 |
| 1023253531 | Stuart A Fine | Internal Medicine | 55 E Erie St, #3305, Chicago, IL 60611-2798 | 2008-12-12 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.