MRS. SUSAN KILIAN GRAUL (NPI# 1518180793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518180793 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN KILIAN GRAUL |
| Credential | RPH |
| Practice Address |
375th Medical Group Scott Afb IL 62225 |
| Mailing Address |
100 Adam Dr Swansea IL 62226-8024 |
| Practice Telephone | 6182349335 |
| Mailing Telephone | 6182349335 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | IL | Pharmacy Service Providers |
| Street Address |
375TH MEDICAL GROUP |
| City | SCOTT AFB |
| State | IL |
| Zip Code | 62225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336488246 | Kristi Golabek Mcelroy | Dentist | 375th Medical Group, 310 West Losey Street, Scott Afb, IL 62225 | 2013-02-13 |
| 1366702870 | Crystal Vaughn Kondowe | Internal Medicine | 375th Medical Group, 310w Losey St, Scott Afb, IL 62225 | 2012-05-18 |
| 1568748168 | Amber Miller | Dentist | 375th Medical Group, 310 West Losey Street, Scott Afb, IL 62225 | 2011-10-26 |
| 1063795177 | Emily Ann Svezia | Pharmacist | 375th Medical Group, 310 West Losey Street, Scott Afb, IL 62225 | 2011-09-25 |
| 1699055434 | Sonia Sharma | Psychologist | 375th Medical Group, 310 West Losey Street, Scott Afb, IL 62225 | 2011-08-24 |
| 1720367394 | Thomas Heidenreich | Dentist | 375th Medical Group, 310 West Losey Street, Scott Afb, IL 62225 | 2011-08-12 |
| 1356639231 | Katelyn Mccormick Hutchison | Physical Therapist | 375th Medical Group, 310 West Losey Street, Scott Afb, IL 62225 | 2011-07-13 |
| 1649591751 | Twana Sue Curry | Social Worker | 375th Medical Group, 310 W. Losey St., Scott Afb, IL 62225-5252 | 2010-06-13 |
| 1366636227 | Brett Garland Perlberg | Pharmacist | 375th Medical Group, 310 West Losey Street, Scott Afb, IL 62225 | 2007-09-04 |
| 1114062395 | Cynthia J. Keyte | Social Worker | 375th Medical Group, 310 West Losey Street, Scott Afb, IL 62225 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011645 | Cheryl D Jones | Registered Nurse | 375th Mdg, 310 W. Losey Street, Scott Afb, IL 62225 | 2020-04-13 |
| 1649836123 | Benjamin Truong | Student in an Organized Health Care Education/Training Program | Scott Air Force Base, 307 West Losey Street Building #1535, Apo, AA 62225 | 2019-05-10 |
| 1558925669 | Brian Ng | Student in an Organized Health Care Education/Training Program | South Drive, Scott Afb, Illinois, Apo, AA 62225 | 2019-04-24 |
| 1841853710 | Lance Scott Mcgavin | Student in an Organized Health Care Education/Training Program | 307 West Losey Street., Building #1535, Scott Afb, IL 62225 | 2019-04-17 |
| 1629503180 | Joshua Bryce Kessack | General Practice | 375 Amds, 310 Losey St, Scott Afb, IL 62225 | 2017-04-21 |
| 1265988059 | Jennifer Nicole Laurence | Dentist | 703 Seibert Rd Ste 5, Scott Afb, IL 62225 | 2016-08-31 |
| 1578940755 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 207 W. Winters St., Bldg 1981, Scott Afb, IL 62225 | 2015-04-27 |
| 1891193652 | Diana Meyer | Social Worker | Scott Afb, Apo, AA 62225 | 2014-12-10 |
| 1801210273 | Robie Victoria Hughes | Registered Nurse | 310 W Losey Street, Scott Air Force Base, IL 62225 | 2014-02-06 |
| 1487998746 | Melissa Dawn Goff | Military Health Care Provider | 310 West. Losey Street, Scott Afb, IL 62225 | 2012-11-26 |
| Find all providers in zip 62225 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063580074 | Brian Jay Eddy | Pharmacist | 375 Mdss Sgsp, 310 W Losey St, Scott Afb, IL 62225 | 2006-11-30 |
| 1750469771 | Jolene R Norris | Pharmacist | 312 W Winters, Scott Afb, IL 62225-5252 | 2006-11-01 |
| 1093139990 | Anthony Changelo | Pharmacist | 310 W Losey St, Scott Afb, IL 62225-5250 | 2014-02-12 |
| 1063795177 | Emily Ann Svezia | Pharmacist | 375th Medical Group, 310 West Losey Street, Scott Afb, IL 62225 | 2011-09-25 |
| 1366636227 | Brett Garland Perlberg | Pharmacist | 375th Medical Group, 310 West Losey Street, Scott Afb, IL 62225 | 2007-09-04 |
| 1285719799 | Kenneth Royal Russell Jr. | Pharmacist | 310 W Losey St, Scott Afb, IL 62225-5250 | 2006-10-25 |
| 1326061276 | Karen S. Fraley | Pharmacist | 310 W Losey St, 375 Mdss/sgsp, Scott Afb, IL 62225-5250 | 2006-07-25 |
| 1407838956 | Derek J Speten | Pharmacist | 310 W Losey St, Scott Afb, IL 62225-5250 | 2005-11-18 |
| 1023009222 | Sean J Mcnamara | Pharmacist | 310 W Losey St, Scott Afb, IL 62225-5250 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083414 | Cedomir Micic | Pharmacist | 1111 W 14th Pl Unit 126, Chicago, IL 60608-2796 | 2020-11-07 |
| 1831790674 | Cristopher Guzman | Pharmacist | 7122 40th St Ste 1, Stickney, IL 60402-5491 | 2020-11-06 |
| 1215538046 | Nancy Ann Blue | Pharmacist | 4101 N Vermilion St, Danville, IL 61834-5997 | 2020-11-06 |
| 1386245397 | Lynsey Perera | Pharmacist | 7610 N Orange Prairie Rd, Peoria, IL 61615-9324 | 2020-11-05 |
| 1629679899 | Rubegin F Torrevillas | Pharmacist | 731 Terry Rd, Glendale Heights, IL 60139-3330 | 2020-11-04 |
| 1730780214 | Rhonda Leigh Herrmann | Pharmacist | 13969 Moore Rd, Marion, IL 62959-6835 | 2020-11-03 |
| 1265033674 | Ghazala Raheel | Pharmacist | 4000 Route # 173, Zion, IL 60099 | 2020-11-03 |
| 1679174973 | Jeff Engwall | Pharmacist | 359 Knox Square Drive, Galesburg, IL 61401 | 2020-11-03 |
| 1609477280 | Marlene A Espinosa | Pharmacist | 2680 N, Il 83, Round Lake Beach, IL 60073 | 2020-11-02 |
| 1023619616 | Hetal Patel | Pharmacist | 3 S 100 Rt 53, Glen Ellyn, IL 60137 | 2020-11-02 |
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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.