MRS. JANA MARLENE SUSIE (NPI# 1184748220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184748220 |
| Entity Type | Individual |
| Full Name | MRS. JANA MARLENE SUSIE |
| Credential | MSPT |
| Practice Address |
1515 S Prairie Ave Unit 603 Chicago IL 60605-3043 |
| Practice Telephone | 7737331695 |
| Mailing Telephone | 7737331695 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1515 S PRAIRIE AVE UNIT 603 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60605-3043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356341440 | Pedro Bukata | Obstetrics & Gynecology | 1515 S Prairie Ave, #1206, Chicago, IL 60605-3043 | 2005-07-29 |
| 1669865283 | Joseph Didomenico | Student in an Organized Health Care Education/Training Program | 1515 S Prairie Ave, Unit 905, Chicago, IL 60605-3043 | 2015-03-05 |
| 1487928875 | James Edward Gonzales | Specialist/Technologist, Other | 1515 S Prairie Ave, 1302, Chicago, IL 60605-3043 | 2012-03-01 |
| 1356677462 | South Loop Pediatric Therapy LLC | Early Intervention Provider Agency | 1515 S Prairie Ave, Unit 603, Chicago, IL 60605-3043 | 2009-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074219 | Kheri Dunkins | Counselor | 1136 S Delano Ct, Suite B201, Chicago, IL 60605 | 2020-08-22 |
| 1134739196 | Erin Odonnell | Physical Therapist | 1255 Soputh State Street, Unit 6, Chicago, IL 60605 | 2020-08-05 |
| 1225658032 | Rita Haber | Speech-Language Pathologist | 1255 S Michigan Avenue, 207, Chicago, IL 60605 | 2020-04-21 |
| 1285288753 | My Travel Guy, Inc. | Transportation Broker | 1300 S. Wabash Ave. Suite # 205, Chicago, IL 60605 | 2019-08-01 |
| 1699230417 | Iesha Marsh | Home Health Aide | 820 S Park Terrance, Apt813, Chicago, IL 60605 | 2019-02-06 |
| 1538633482 | Sara Miller | Counselor | 401 S. Lasalle St. Suite 800h, Chicago, IL 60605 | 2019-01-14 |
| 1992203798 | Lorna Johnson | Nurse Practitioner | 1740 W Taylor St., 764e Uih, Mc 509, Chicago, IL 60605 | 2018-01-26 |
| 1790226207 | Undine and Associates | Social Worker | 410 S. Michigan Ave, Ste 943, Chicago, IL 60605 | 2017-03-16 |
| 1659811529 | Paul Parpart | Occupational Therapist | 1235 S Prairie, Chicago, IL 60605 | 2017-02-27 |
| 1144679879 | Osco Drug | Ambulance | 1529 S State St 6e, Chicago, IL 60605 | 2016-06-03 |
| Find all providers in zip 60605 | ||||
| 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 |
| 1669915674 | Anna's Pediatric Physical Therapy LLC | Physical Therapist | 2120 W Armitage Ave, Unit 1, Chicago, IL 60647-4516 | 2016-11-22 |
| 1669840005 | Kateland Hojnacki | Physical Therapist | 431 W Belden Ave, C203, Chicago, IL 60614-3867 | 2015-09-02 |
| 1033522362 | Starting Smart LLC | Physical Therapist | 3359 N Seminary Ave # 1, Chicago, IL 60657-2220 | 2014-06-04 |
| 1770996159 | Sydney Steininger | Physical Therapist | 2315 N Leavitt St, Apt 3r, Chicago, IL 60647-3273 | 2014-06-03 |
| 1184989964 | Debra Renae Nickoli | Physical Therapist | 401 E Ontario St Apt 4003, Chicago, IL 60611-4443 | 2012-07-09 |
| 1326352899 | Sandra Maria De Jesus | Physical Therapist | 3630 N. Harlem Avenue, 214, Chicago, IL 60634-3194 | 2010-07-27 |
| 1528384971 | New City Therapy, Inc. | Physical Therapist | 2644 W Cermak Rd, Chicago, IL 60608-3515 | 2010-04-09 |
| 1104056571 | Abbey Louise Melling | Physical Therapist | 1 W Superior St, Apt. 908, Chicago, IL 60654-8803 | 2009-07-20 |
| 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.