MS. SUSAN M. GIACCHINO (NPI# 1104845833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104845833 |
| Entity Type | Individual |
| Full Name | MS. SUSAN M. GIACCHINO |
| Credential | APN |
| Practice Address |
555 W Court St Suite 108 Kankakee IL 60901-3664 |
| Mailing Address |
901 Mcclintock Dr Suite 202 Burr Ridge IL 60527-0871 |
| Practice Telephone | 8159372015 |
| Mailing Telephone | 8882206432 |
| Mailing Fax Number | 6306544253 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2013-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SC0200X |
Clinical Nurse Specialist Specialization: Critical Care Medicine |
209-002386 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
555 W COURT ST SUITE 108 |
| City | KANKAKEE |
| State | IL |
| Zip Code | 60901-3664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003802349 | Martin T Phillips | Internal Medicine | 555 W Court St, Suite 108, Kankakee, IL 60901-3664 | 2005-09-22 |
| 1083972863 | Michel H. Malek, M.d. PC | Non-Pharmacy Dispensing Site | 555 W Court St, Suite 412, Kankakee, IL 60901-3664 | 2012-04-30 |
| 1194035360 | Michel H. Malek, Md Sc | Neurological Surgery | 555 W Court St, Suite 412, Kankakee, IL 60901-3664 | 2010-10-20 |
| 1902112535 | Fabiola Maria Del Carmen Espinoza | Internal Medicine | 555 W Court St, Suite 108, Kankakee, IL 60901-3664 | 2010-08-20 |
| 1053623801 | Community Pain Consultants, Ltd | Specialist | 555 W Court St, Suite 100, Kankakee, IL 60901-3664 | 2010-07-09 |
| 1518296938 | Donald E Krause Dds Ltd | Clinic/Center | 555 W Court St, Suite 102, Kankakee, IL 60901-3664 | 2009-12-14 |
| 1982844684 | Kankakee Pain Surgical Suite, LLC | Clinic/Center | 555 W Court St, Suite 100, Kankakee, IL 60901-3664 | 2009-02-20 |
| 1255578118 | Kankakee Area Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 555 W Court St, Ste 101, Kankakee, IL 60901-3664 | 2009-01-14 |
| 1457519969 | Consultants In Pathology Sc | Pathology | 555 W Court St, Suite 300, Kankakee, IL 60901-3664 | 2008-05-30 |
| 1114127800 | Misbah Uddin Ahmed Md Sc | Internal Medicine | 555 W Court St, Ste 200, Kankakee, IL 60901-3664 | 2007-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978841 | William Mitsos Dds | Dentist | 1291 S. 7th Ave, Kankakee, IL 60901 | 2020-09-30 |
| 1922653682 | Jody Mcguyer, Lcpc, Cadc Counseling Services, LLC | Counselor | 315 W. Court St., Kankakee, IL 60901 | 2019-08-08 |
| 1700346327 | Sarah Elizabeth Toma | Speech-Language Pathologist | 200 E Court St #708, Kankakee, IL 60901 | 2019-03-20 |
| 1710473160 | Small Talk Speech Services, LLC | Clinic/Center | 1439 W Vanmeter St, Kankakee, IL 60901 | 2018-07-09 |
| 1124538004 | Amy J Green | Physical Therapist | 350 N. Wall Street, Kankakee, IL 60901 | 2017-10-05 |
| 1013457514 | Elizabeth Ann Smith | Registered Nurse | 292 Charlton Lane, Kankakee, IL 60901 | 2017-03-02 |
| 1861931461 | Stacey E. Brown | Nurse Practitioner | 207 N. Schuyler Ave., Kankakee, IL 60901 | 2017-02-15 |
| 1417352105 | Provider Healthcare Services, Inc | Home Health | 555 South Schuyler, Suite 275, Kankakee, IL 60901 | 2014-10-24 |
| 1265850655 | Ronald George Testa | Dentist | 202 N. Schuyler Ave, Kankakee, IL 60901 | 2014-04-02 |
| 1245587898 | Mary Beth Wertz | Registered Nurse | 100 N Jeffery Street, Kankakee, IL 60901 | 2012-08-13 |
| Find all providers in zip 60901 | ||||
| Taxonomy Code | 364SC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316153984 | Constance A Wright | Clinical Nurse Specialist | 5758 South Maryland, Chicago, IL 60637 | 2007-05-14 |
| 1215076153 | Elizabeth (beth) T Zimmermann | Clinical Nurse Specialist | 5839 So. Maryland Ave., Mc4062-ucch, Chicago, IL 60637 | 2007-02-06 |
| 1205332509 | Irene Copak | Clinical Nurse Specialist | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2018-04-04 |
| 1831623636 | Sheri Moonan | Clinical Nurse Specialist | 4440 W 95th St, 6324p- Lung Transplant Office, Oak Lawn, IL 60453-2600 | 2017-04-18 |
| 1104272079 | Candice White | Clinical Nurse Specialist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2016-05-10 |
| 1982029856 | Jennifer Casey | Clinical Nurse Specialist | 1120 N Melvin St, Gibson City, IL 60936-1477 | 2014-02-28 |
| 1336578582 | Pamela Heydorn | Clinical Nurse Specialist | 133 E Brush Hill Rd, Ste. 202, Elmhurst, IL 60126-5659 | 2013-11-08 |
| 1073956777 | Leslie Ann Collins | Clinical Nurse Specialist | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2013-04-11 |
| 1841539616 | Darla Jo Bradle | Clinical Nurse Specialist | 2222 E State St, Suite 209, Rockford, IL 61104-1573 | 2013-02-13 |
| 1306183173 | Ann L Miller | Clinical Nurse Specialist | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2013-01-13 |
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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.