DR. MARY SUSAN SCANLON (NPI# 1245327782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245327782 |
| Entity Type | Individual |
| Full Name | DR. MARY SUSAN SCANLON |
| Credential | MD |
| Practice Address |
1721 Moon Lake Blvd Ste 100 Hoffman Estates IL 60169-5700 |
| Mailing Address |
2801 Lakeside Dr Ste 209 Bannockburn IL 60015-1271 |
| Practice Telephone | 8478849700 |
| Mailing Telephone | 8475621410 |
| Mailing Fax Number | 8475620830 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 036093270 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036093270 | 05 | |
| BCBS | 01623696 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1083 Lake Cook Rd, Wheeling, IL 60090 | 8478087070 | 8478087474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841375607 | Mary Louise Scanlon | Registered Nurse | 26 Central St, Somerville, MA 02143-2827 | 2006-10-27 |
| 1992887087 | Mary H Scanlon | Radiology | 3400 Spruce St, 1 Silverstein, Philadelphia, PA 19104-4206 | 2006-10-19 |
| 1245240548 | Mary Nocero Scanlon | Family Medicine | 101 S Federal Hwy, Lake Worth, FL 33460-4228 | 2006-08-09 |
| 1366405367 | Mary Beth Scanlon | Psychologist | 1110 Yankee Doodle Rd, Eagan, MN 55121-2092 | 2006-04-10 |
| Street Address |
1721 MOON LAKE BLVD STE 100 |
| City | HOFFMAN ESTATES |
| State | IL |
| Zip Code | 60169-5700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265432090 | Ishwar K Patel | Obstetrics & Gynecology | 1721 Moon Lake Blvd Ste 100, Hoffman Estates, IL 60169-5700 | 2005-07-22 |
| 1548661432 | Melissa Estes | Physician Assistant | 1721 Moon Lake Blvd Ste 100, Hoffman Estates, IL 60169-5700 | 2014-09-10 |
| 1417189234 | Maria Elena Roux | Nurse Practitioner | 1721 Moon Lake Blvd Ste 100, Hoffman Estates, IL 60169-5700 | 2009-08-12 |
| 1275620700 | Kathryn Ray | Obstetrics & Gynecology | 1721 Moon Lake Blvd Ste 100, Hoffman Estates, IL 60169-5700 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538639109 | Kathryn Grace Simpson | Behavioral Analyst | 2500 W Higgins Rd Suite 870, Hoffman Estates, IL 60169 | 2018-11-27 |
| 1821507195 | Anna Catsaros | Speech-Language Pathologist | 1030 W. Higgins Road, Hoffman Estates, IL 60169 | 2017-09-29 |
| 1831628908 | Htgr, Ltd | Dentist | 2200 N. Higgins Rd, Ste 335, Hoffman Estates, IL 60169 | 2017-06-12 |
| 1023541521 | Tamara M Nowak | Counselor | 2455 Dean St., Suite 3g, St. Charles, IL 60169 | 2017-04-11 |
| 1275995813 | Eraj Din | Pediatrics | 2500 W Higgins Rd Ste 440, Hoffman Estates, IL 60169 | 2016-03-23 |
| 1871965764 | Hameed U. Baig | Family Medicine | 1446 Della Drive, Hoffman Estates, IL 60169 | 2015-10-30 |
| 1316365620 | Eye See Optical Inc. | Clinical Medical Laboratory | 1071 W. Golf Rd., Hoffman Estates, IL 60169 | 2014-04-03 |
| 1093132284 | Elizabeth Sita | Psychiatry & Neurology | 1786 Moon Lake Blvd Ste 104, Hoffman Estates, IL 60169 | 2014-03-25 |
| 1881017895 | Katie Forsythe | Counselor | 990 Grand Canyon Pkwy Ste 420, Hoffman Estates, IL 60169 | 2014-01-27 |
| 1831447432 | Suma Karandikar | Counselor | 2500 W Higgins Rd Ste 570, Hoffman Estates, IL 60169 | 2012-08-29 |
| Find all providers in zip 60169 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154709731 | Janaki Nandam | Obstetrics & Gynecology | 1786 Moon Lake Blvd Ste 207, Hoffman Estates, IL 60169-1067 | 2015-05-14 |
| 1750515367 | Samreen Akbar | Obstetrics & Gynecology | 2500 W Higgins Rd Ste 920, Hoffman Estates, IL 60169-2048 | 2009-05-11 |
| 1194909366 | Carey M. Bacalar, M.d., S.c. | Obstetrics & Gynecology | 1555 Barrington Rd Ste 225, Hoffman Estates, IL 60169-1063 | 2007-12-24 |
| 1588873756 | Djamilia Emilbekovna Kryukov | Obstetrics & Gynecology | 1555 Barrington Rd Ste 425, Hoffman Estates, IL 60169-1065 | 2007-05-22 |
| 1326169202 | Ishwar K. Patel, M.d., S.c. | Obstetrics & Gynecology | 1555 Barrington Rd, Suite 130, Hoffman Estates, IL 60169-5026 | 2007-04-02 |
| 1376687319 | Kishore K Lakhani | Obstetrics & Gynecology | 2500 West Higgins Road, Suite 330, Hoffman Estates, IL 60169-7207 | 2007-02-15 |
| 1760496103 | Susan A Orhan | Obstetrics & Gynecology | 1555 Barrington Rd Ste 410, Hoffman Estates, IL 60169-1065 | 2006-07-29 |
| 1265432090 | Ishwar K Patel | Obstetrics & Gynecology | 1721 Moon Lake Blvd Ste 100, Hoffman Estates, IL 60169-5700 | 2005-07-22 |
| 1376549394 | Carey M Bacalar | Obstetrics & Gynecology | 1555 N. Barrington Road, Suite 225, Hoffman Estates, IL 60169 | 2005-06-23 |
| 1376923748 | Judith Brown | Obstetrics & Gynecology | 1555 Barrington Rd Ste 410, Hoffman Estates, IL 60169-1065 | 2015-06-01 |
| Find all providers in HOFFMAN ESTATES | ||||
| City | HOFFMAN ESTATES |
| Zip Code | 60169 |
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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.