MS. SUSANNE SHOKOOHI


Address: 2160 S 1st Ave, Building 54 Room 167, Maywood, IL 60153
Phone: 7082169230

MS. SUSANNE SHOKOOHI (NPI# 1336438456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336438456
Entity Type Individual
Full Name MS. SUSANNE SHOKOOHI
Credential M.D.
Practice Address 2160 S 1st Ave
Building 54 Room 167
Maywood
IL 60153
Mailing Address 2160 S 1st Ave
Maywood
IL 60153-3328
Practice Telephone 7082169230
Mailing Telephone 7082169000
Enumeration Date 2011-03-29
Last Update Date 2018-08-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
036137918 IL Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 2160 S 1ST AVE
BUILDING 54 ROOM 167
City MAYWOOD
State IL
Zip Code 60153

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174525489 Michael Jm Raffin Audiologist 2160 S 1st Ave, Maywood, IL 60153-3328 2005-06-01
1366049900 Kenneth Bernard Jordan Psychiatry & Neurology 2160 S 1st Ave, Maywood, IL 60153-3328 2020-10-06
1124634712 Abhilasha Nitin Borkar Pathology 2160 S 1st Ave, Maywood, IL 60153 2020-09-18
1306450325 Linda Ippolito Nurse Practitioner 2160 S 1st Ave, Maywood, IL 60153-3328 2020-09-08
1194339135 Meghan Henry Nurse Practitioner 2160 S 1st Ave, Maywood, IL 60153-3328 2020-09-08
1194339911 Victoria Leah Drozd Student in an Organized Health Care Education/Training Program 2160 S 1st Ave, Maywood, IL 60153-3328 2020-08-31
1396357588 Madison Schaefer Nurse Practitioner 2160 S 1st Ave, Maywood, IL 60153-3328 2020-08-19
1134731375 Otanthia S Williams-brady Nurse Practitioner 2160 S 1st Ave, Maywood, IL 60153-3328 2020-08-19
1205454287 Janet Nickels Audiologist 2160 S 1st Ave, Maywood, IL 60153-3328 2020-07-07
1417574054 Kathryn Clemans Nurse Anesthetist, Certified Registered 2160 S 1st Ave, Maywood, IL 60153-3328 2020-06-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053933077 Judie Noemie Hoilat Internal Medicine 2160 S 1st Avenue, Maywood, IL 60153 2020-05-13
1457972457 Yuchen Zheng Student in an Organized Health Care Education/Training Program Department of Neurology, Loyola University Medical Cent, 2160 S. First Ave, Maywood, IL 60153 2020-04-30
1437779519 Amna Amad Siddiqui Student in an Organized Health Care Education/Training Program 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 2020-04-20
1982232211 Brian Kurtz Student in an Organized Health Care Education/Training Program 2160 S First Ave, Bulding 105-suite 2840a, Maywood, IL 60153 2020-03-31
1902434947 Saadiya Jabbar Psychiatry & Neurology Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 2020-03-27
1558919472 Linda Sue Moton Technician 10 South 15 Apt. 1, Maywood, IL 60153 2019-09-04
1760047518 Braden Robert Dasovic Student in an Organized Health Care Education/Training Program 2160 S. First Avenue Building 105/room 2700, Department, Loyola Medical Center, Maywood, IL 60153 2019-05-07
1134680713 Madeline Shaoyun Tiee Orthopaedic Surgery Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 2019-03-27
1538629746 Michael Murphy Orthopaedic Surgery 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 2019-03-22
1053871681 Michael V Padua Psychiatry & Neurology 2160 S 1st Ave Bldg, Maywood, IL 60153 2019-03-20
Find all providers in zip 60153

Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801080460 Lena Brice Palmer Internal Medicine 2160 S. 1st Avenue, Building 54, Room 167, Maywood, IL 60153 2007-08-28
1831619527 Ikponmwosa Enofe Internal Medicine 2160 S 1st Ave, Maywood, IL 60153-3328 2017-06-22
1043744717 Ingrid Beyruth Schwartz Internal Medicine 2160 S 1st Ave, Maywood, IL 60153-3328 2017-04-19
1407387061 Marcel Ghanim Internal Medicine 2160 S 1st Ave, Maywood, IL 60153-3328 2017-03-24
1942651096 Thomas Jan Konturek Internal Medicine 2160 S 1st Ave, Maywood, IL 60153-3328 2016-06-29
1710372321 Arshish Dua Internal Medicine 2160 S 1st Ave, Maywood, IL 60153 2015-03-31
1013250695 Steven Hendler Internal Medicine 2160 S 1st Ave, Maywood, IL 60153 2013-04-01
1013273150 Zuie Wakade Internal Medicine 2160 S 1st Ave, Maywood, IL 60153-3328 2012-04-03
1184918294 Lalitha Meenambal Sitaraman Internal Medicine 2160 S 1st Ave, Maywood, IL 60153 2011-06-06
1336464478 Nikiya O Asamoah Internal Medicine 2160 S 1st Ave, Maywood, IL 60153-3328 2010-04-01
Find all providers in MAYWOOD

Competitor

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City MAYWOOD
Zip Code 60153

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Dataset Information

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.

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