MRS. SUSAN AE CHAN (NPI# 1134731458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134731458 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN AE CHAN |
| Credential | LPC |
| Practice Address |
4305 N Lincoln Ave Chicago IL 60618-1807 |
| Mailing Address |
318 W Half Day Rd Buffalo Grove IL 60089-6547 |
| Practice Telephone | 2243387871 |
| Mailing Telephone | 8478219346 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
178002734 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043313570 | Susan Chan | Dentist | 112 La Casa Via Ste 120, Walnut Creek, CA 94598-3056 | 2006-09-07 |
| 1528419835 | Susan Chan | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3816 | 2016-06-28 |
| 1225387186 | Susan Chan | Social Worker | 10 Underwood Pl, Clifton, NJ 07013-2218 | 2012-09-06 |
| 1518136381 | Susan Chan | Pharmacist | 140 N Macdade Blvd, Shoprite Pharmacy of Glenolden, Glenolden, PA 19036-1224 | 2008-02-26 |
| 1689734394 | Susan Chan | Occupational Therapist | 462 1st Ave # A-560, New York, NY 10016-9196 | 2006-12-11 |
| 1699862987 | Susan Chan | Physical Therapist | 1 W Campbell Ave, Suite D36, Campbell, CA 95008-1004 | 2006-10-06 |
| Street Address |
4305 N LINCOLN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60618-1807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215920608 | Phyllis Sydnie Gould | Social Worker | 4305 N Lincoln Ave, Suite N, Chicago, IL 60618-1711 | 2005-08-31 |
| 1346717345 | Papa Ndomu Adams | Counselor | 4305 N Lincoln Ave, Chicago, IL 60618-1807 | 2018-10-28 |
| 1356817522 | Parkside Therapy | Social Worker | 4305 N Lincoln Ave, Chicago, IL 60618-1807 | 2018-10-16 |
| 1013457951 | Embrace The Center for Emotional Wellbeing LLC | Psychologist | 4305 N Lincoln Ave, Ste M, Chicago, IL 60618-1807 | 2017-02-25 |
| 1316397979 | Catalyst Clinical Group, Inc | Social Worker | 4305 N Lincoln Ave, Suite M, Chicago, IL 60618-1711 | 2016-06-14 |
| 1023475886 | Annaliese Rosamunde Spalink | Social Worker | 4305 N Lincoln Ave, Suite M, Chicago, IL 60618-1711 | 2016-01-25 |
| 1639562192 | Jessica Albright | Counselor | 4305 N Lincoln Ave, Chicago, IL 60618-1711 | 2015-03-09 |
| 1407265143 | Creative Health Counseling, LLC | Counselor | 4305 N Lincoln Ave, Suite M, Chicago, IL 60618-1711 | 2014-08-06 |
| 1265848253 | Diane Pelegris | Social Worker | 4305 N Lincoln Ave, Suite K, Chicago, IL 60618-1711 | 2014-07-10 |
| 1568877116 | Gili Averbuch | Social Worker | 4305 N Lincoln Ave, Suite K, Chicago, IL 60618-1711 | 2014-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741622 | Cvs Aoc Services, L.L.C. | Optometrist | 4051 North Lincoln, Store 8751, Chicago, IL 60618 | 2020-05-07 |
| 1699317404 | Joseph Thank Harmon | Registered Nurse | 5645 W Addison, Chicago, IL 60618 | 2019-10-14 |
| 1760952626 | Prep Performance Center, LLC | Clinic/Center | 4022 N Rockwell Street, Chicago, IL 60618 | 2018-12-04 |
| 1528540986 | Ruby Erdmann | Dietitian, Registered | 3126 N Kimball Ave. #3w, Chicago, IL 60618 | 2018-09-02 |
| 1962997064 | Living Roots Psychotherapy, LLC | Clinic/Center | 4310 N Spaulding Ave, Chicago, IL 60618 | 2018-06-30 |
| 1962920116 | Alif Muhammad | Counselor | 3819 W Cornelia Ave #2, Chicago, IL 60618 | 2017-09-07 |
| 1417471178 | Daniel Lee Mcmillan | Counselor | 3433 N. Ridgeway Ave, Apt G, Chicago, IL 60618 | 2017-08-03 |
| 1508380486 | Callie Weinberg | Social Worker | 2945 N Damen Ave, 1s, Chicago, IL 60618 | 2017-08-01 |
| 1275062697 | Melissa Ann Prest | Dietitian, Registered | 3258 W Warner Ave, Apt 2, Chicago, IL 60618 | 2017-06-08 |
| 1871951038 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 4315 N. Lincoln Avenue, Chicago, IL 60618 | 2016-02-03 |
| Find all providers in zip 60618 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477579 | Shantrell Patrice Sutton | Counselor | 5042 W Erie St, Chicago, IL 60644-1604 | 2020-11-05 |
| 1073114591 | Alternative Schools Network | Counselor | 1807 W Sunnyside Ave, Chicago, IL 60640-5898 | 2020-11-02 |
| 1992306518 | Gravity and Grace Psychotherapy, Pllc | Counselor | 1305 S Michigan Ave Apt 602, Chicago, IL 60605-3398 | 2020-11-02 |
| 1811597263 | April Wilburne | Counselor | 804 E 54th St Apt 3, Chicago, IL 60615-4972 | 2020-10-27 |
| 1043810393 | Pamela Kranyak | Counselor | 30 N Michigan Ave Ste 925, Chicago, IL 60602-3463 | 2020-10-27 |
| 1003413378 | Erika Aguirre | Counselor | 5040 S Keating Ave., Chicago, IL 60632-4919 | 2020-10-08 |
| 1497361661 | Michael V Biederman | Counselor | 4254 N Mozart St Apt 2s, Chicago, IL 60618-1784 | 2020-09-22 |
| 1013523984 | Antionette Fisher | Counselor | 5703 S Peoria St, Chicago, IL 60621-2262 | 2020-09-16 |
| 1114532561 | Nefesh Counseling, LLC | Counselor | 3320 W Foster Ave # 124, Chicago, IL 60625-4813 | 2020-09-12 |
| 1114531043 | Katherine E Evans | Counselor | 1528 W Jonquil Ter Unit 2c, Chicago, IL 60626-5932 | 2020-09-08 |
| 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.