SUSAN SLOCUM BLAIR (NPI# 1104862754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104862754 |
| Entity Type | Individual |
| Full Name | SUSAN SLOCUM BLAIR |
| Credential | PT |
| Practice Address |
857 Center Ct Shorewood IL 60431-8520 |
| Mailing Address |
1207 Thackery Ct Naperville IL 60564-3175 |
| Practice Telephone | 8157301818 |
| Mailing Telephone | 6309048152 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760752950 | Susan Marie Blair | Dietitian, Registered | 105 Dean Rd, Sterling, MI 48659-9796 | 2012-01-05 |
| 1649345745 | Susan B. Blair | Marriage & Family Therapist | 349 Main St Ste 1, Gaithersburg, MD 20878-5780 | 2006-11-22 |
| 1942209572 | Susan Diane Blair | Ophthalmology | 4200 N Rodney Parham Rd Ste 101, Little Rock, AR 72212-2458 | 2005-07-15 |
| 1255708640 | Susan Blair | Social Worker | 2307 W 6th St, Los Angeles, CA 90057-3119 | 2015-09-01 |
| 1861736399 | Susan E Blair | Nurse Practitioner | 34700 Valley Rd, Oconomowoc, WI 53066 | 2012-11-21 |
| 1508138942 | Susan B Blair | Marriage & Family Therapist | 1424 Summit Ave, Fort Worth, TX 76102-5912 | 2012-02-01 |
| 1013204387 | Susan Katherine Blair | Dentist | 201 N Arlington Heights Rd, Arlington Heights, IL 60004-6059 | 2011-07-06 |
| 1699818591 | Susan Blair | Physical Therapist | 2924 Brook Rd, Children's Hospital Credentialing Dept, Richmond, VA 23220-1215 | 2007-02-14 |
| 1790883684 | Susan Blair | Nurse Practitioner | 11801 South Fwy, Suite 338, Burleson, TX 76028-7021 | 2006-09-21 |
| 1992712319 | Susan M Blair | Pharmacist | 5 Main St, Queensbury, NY 12804-4007 | 2006-08-01 |
| Street Address |
857 CENTER CT |
| City | SHOREWOOD |
| State | IL |
| Zip Code | 60431-8520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003855933 | Action for Kids, P.C. | Speech-Language Pathologist | 857 Center Ct, Shorewood, IL 60431-8519 | 2006-06-06 |
| 1710298534 | Katherine Estelle Scudder | Speech-Language Pathologist | 857 Center Ct, Shorewood, IL 60404-8519 | 2010-06-25 |
| 1659604700 | Kathryn Elizabeth Orzechowski | Speech-Language Pathologist | 857 Center Ct, Suite D, Shorewood, IL 60404-8519 | 2009-09-08 |
| 1598934234 | Agnieszka Sobecka | Specialist | 857 Center Ct, Suite D, Shorewood, IL 60404-8519 | 2008-02-27 |
| 1952324881 | Kari Pogue Walker | Physical Therapist | 857 Center Ct, #d, Shorewood, IL 60431-8519 | 2006-07-25 |
| 1962431254 | Amy Marie Rojas | Speech-Language Pathologist | 857 Center Ct, #d, Shorewood, IL 60431-8519 | 2006-07-01 |
| 1609818129 | Peggy Gawron | Speech-Language Pathologist | 857 Center Ct, Ste D, Shorewood, IL 60431-8519 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588173413 | Margaret Ann Silvas | Nurse's Aide | 3627 Woodside Ct, Joliet, IL 60431 | 2017-09-22 |
| 1174900757 | Melissa Suzanne Spoula | Optometrist | 3340 Mall Loop Dr Spc 1442, Joliet, IL 60431 | 2015-05-02 |
| 1154678373 | Melissa J Murphy | Physical Therapist | 852 A Sharp Drive, Provena Therapy and Industrial Rehabilitation Center, Shorewood, IL 60431 | 2012-08-07 |
| 1053540096 | Sarah M Patnoudes | Occupational Therapist | 1035 Heron Circle, Joliet, IL 60431 | 2009-07-13 |
| 1558598649 | Regi Nair | Pharmacy Technician | 1901 Appleman, Joliet, IL 60431 | 2009-06-16 |
| 1346483948 | John A. Propati, Inc. | Clinic/Center | 1401 Illinois Rt. 59, Shorewood, IL 60431 | 2009-04-13 |
| 1467622910 | Cornerstone Home Healthcare LLC | Home Health | 350 Houbolt Rd., Suite 209, Joliet, IL 60431 | 2008-03-11 |
| 1780898098 | Annie Bishop | Home Health Aide | 3806 Brenton Dr, Joliet, IL 60431 | 2007-05-09 |
| 1760601272 | James John Babiuk | Dentist | 3209 Fiday Rd, Joliet, IL 60431 | 2007-04-24 |
| 1689731481 | Smile Street Dental | Dentist | 3587 Hennepin Dr, Joliet, IL 60431 | 2007-01-02 |
| Find all providers in zip 60431 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841750411 | Crawl Walk Leap P.C. | Physical Therapist | 720 W Randolph St Apt 1103, Chicago, IL 60661-2171 | 2019-03-21 |
| 1912478777 | Elaine Rodriguez | Physical Therapist | 3332 N Kostner Ave, Chicago, IL 60641-4513 | 2018-12-05 |
| 1437625001 | Jennifer K. Buccelli, Mpt | Physical Therapist | 597 Plymouth Ct, Gurnee, IL 60031-3229 | 2018-10-22 |
| 1124511159 | Molly Victorine | Physical Therapist | 1375 Newcastle Ln, Hoffman Estates, IL 60169-1225 | 2018-06-13 |
| 1750896163 | Julie Ann Brady | Physical Therapist | 430 Nevada St, Frankfort, IL 60423-1565 | 2017-12-07 |
| 1467965939 | Carla Gain | Physical Therapist | 118 Westhaven School Rd, Belleville, IL 62220-3264 | 2017-11-07 |
| 1538678354 | Anita Tallegien Daneshdoost | Physical Therapist | 1725 Shomaker Drive, Murphysboro, IL 62966 | 2017-09-25 |
| 1861917189 | Marisa Raineri | Physical Therapist | 750 Pasquinelli Dr., #204, Westmont, IL 60559 | 2017-08-08 |
| 1669915674 | Anna's Pediatric Physical Therapy LLC | Physical Therapist | 2120 W Armitage Ave, Unit 1, Chicago, IL 60647-4516 | 2016-11-22 |
| 1417409970 | Katherine Wolff | Physical Therapist | 12 N Kenilworth Ave, Mount Prospect, IL 60056-2232 | 2016-11-01 |
| Find all providers with the same taxonomy | ||||
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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.