SUSAN C BALBERDE, MD,SC (NPI# 1295165256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295165256 |
| Entity Type | Organization |
| Organization Name | SUSAN C BALBERDE, MD,SC |
| Practice Address |
8330 Grand Ave River Grove IL 60171-1435 |
| Mailing Address |
5524 N Pioneer Ave Chicago IL 60656-1546 |
| Practice Telephone | 7086813000 |
| Mailing Telephone | 7735254511 |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2013-11-12 |
| Authorized Official Name | DR. SUSAN BALVERDE (PRESIDENT) |
| Authorized Official Telephone | 7735254511 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
036046845 | IL | Ambulatory Health Care Facilities |
| Street Address |
8330 GRAND AVE |
| City | RIVER GROVE |
| State | IL |
| Zip Code | 60171-1435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366915647 | Pipeline - Lakefront Medical Associates, LLC | Family Medicine | 8330 Grand Ave, River Grove, IL 60171-1435 | 2019-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023496395 | Danuta B Superson | Massage Therapist | 8364 W Grand Ave, River Grove, IL 60171 | 2015-05-07 |
| 1063890283 | Davina Harris | Massage Therapist | 8364 W. Grand Avenue, River Grove, IL 60171 | 2015-05-07 |
| 1811150410 | Thtacher Woods Associates Ltd | Clinic/Center | 8383 W Belmont Ave, Suite 200, River Grove, IL 60171 | 2008-07-03 |
| 1235327941 | S. David Demorest | Clinic/Center | 8383 Belmont Avenue, River Grove, IL 60171 | 2007-10-09 |
| 1568527661 | River Grove Clinic | Family Medicine | 8383 N Belmont, River Grove, IL 60171 | 2006-12-27 |
| 1972533081 | Village of River Grove | Ambulance | 2601 Thatcher, River Grove, IL 60171 | 2006-07-04 |
| 1831687680 | Matthew L Garstki | Physical Therapist | 8937 Grand Ave, River Grove, IL 60171 | 2018-04-27 |
| 1720509458 | Grant Thomas Miller | Optometrist | 8362 Grand Ave, River Grove, IL 60171 | 2017-07-03 |
| 1386022549 | Izabela S Fratczak | Massage Therapist | 8364 Grand Ave, River Grove, IL 60171 | 2015-05-08 |
| 1568431377 | Michael Dean Dralle | Specialist/Technologist | 8937 Grand Ave, Athletico Sports Medicine and Pt Centers, River Grove, IL 60171 | 2006-03-15 |
| Find all providers in zip 60171 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235327941 | S. David Demorest | Clinic/Center | 8383 Belmont Avenue, River Grove, IL 60171 | 2007-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033724901 | Ar Healthcare | Clinic/Center | 11 E Main St Ste A, St Charles, IL 60174-1925 | 2020-09-08 |
| 1568073674 | Downers Grove Immediate Care Inc. | Clinic/Center | 425 Ogden Ave, Downers Grove, IL 60515-3066 | 2020-08-12 |
| 1538792221 | Greenbax Health Solutions, LLC | Clinic/Center | 4922 W Chicago Ave, Chicago, IL 60651-3142 | 2020-02-20 |
| 1548808728 | Unitypoint Health At Work | Clinic/Center | 1100 13th Ave, East Moline, IL 61244-1455 | 2019-12-18 |
| 1265076749 | Inhome Primecare LLC | Clinic/Center | 6738 N Lockwood Ave, Lincolnwood, IL 60712-3107 | 2019-10-29 |
| 1033760780 | Careatc | Clinic/Center | 600 S Michigan Ave # 402, Chicago, IL 60605-1900 | 2019-09-24 |
| 1356814503 | Thompson Medical Incorporated | Clinic/Center | 933 E Hyde Park Blvd Ste G, Chicago, IL 60615-2722 | 2019-01-09 |
| 1598248106 | Granite City Clinic Corp | Clinic/Center | 602 Farrish St, Madison, IL 62060-1567 | 2018-09-10 |
| 1497251037 | Thomas L Pitts, Md LLC | Clinic/Center | 233 E Erie St Ste 702, Chicago, IL 60611-5933 | 2018-04-03 |
| 1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
| Find all providers with the same taxonomy | ||||
| City | RIVER GROVE |
| Zip Code | 60171 |
Please comment or provide details below to improve the information on SUSAN C BALBERDE, MD,SC.
| 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.