MS. SUSAN D RODGERS (NPI# 1568603793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568603793 |
| Entity Type | Individual |
| Full Name | MS. SUSAN D RODGERS |
| Credential | MS, PA-C |
| Practice Address |
3220 W Il Route 60 Mundelein IL 60060 |
| Practice Telephone | 8478378442 |
| Practice Fax Number | 8478378542 |
| Mailing Telephone | (847) 837-8442 |
| Mailing Fax Number | 8478378542 |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2017-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 085003202 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085003202 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2482-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841474749 | Susan Rodgers | Nurse Practitioner | 205 Newtown Road, Suite 212, Warminster, PA 18974 | 2007-12-27 |
| 1558360792 | Susan V Rodgers | Pharmacy Technician | 1919 S Loop 256, Palestine, TX 75801-5915 | 2005-07-19 |
| 1386730463 | Susan Moore Rodgers II | Dietitian, Registered | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2006-10-05 |
| 1578597118 | Susan F. Rodgers | Registered Nurse | 516 High St, Wwu Student Health Center, Bellingham, WA 98225-5946 | 2006-07-10 |
| Street Address |
3220 W IL ROUTE 60 |
| City | MUNDELEIN |
| State | IL |
| Zip Code | 60060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558326439 | Howard R Baker | Internal Medicine | 3220 W Il Route 60, Mundelein, IL 60060 | 2006-04-20 |
| 1679539563 | Lisa Merle Peck | Internal Medicine | 3220 W Il Route 60, Mundelein, IL 60060 | 2006-04-21 |
| 1922064641 | Steven M Witzel | Internal Medicine | 3220 W Il Route 60, Mundelein, IL 60060 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336655950 | Mundelein Dental Clinic LLC | Clinic/Center | 3074 Il-60, Mundelein, IL 60060 | 2017-12-19 |
| 1154845923 | Michelle Robin Wichter | Counselor | 1606 Woodhaven Ct., Mundelein, IL 60060 | 2017-08-02 |
| 1023556602 | Merry Walker Corporation | Durable Medical Equipment & Medical Supplies | 21350 West Sylvan Drive South, Mundelein, IL 60060 | 2017-02-03 |
| 1649656430 | Saze Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26247 N. Maple Ave, Mundelein, IL 60060 | 2015-08-04 |
| 1639519101 | Megha Shah | Pharmacist | 3100 Route 60, Mundelein, IL 60060 | 2013-06-28 |
| 1427300540 | G A C Therapy Services Inc | In Home Supportive Care | 1041 Concord Circle, Mundelein, IL 60060 | 2012-10-12 |
| 1316202898 | Thomas W Pogue | Dentist | 287 N. Lake St, Mundelein, IL 60060 | 2012-07-10 |
| 1316221294 | Vernon Hills Physical Medicine, Service Corporation | Anesthesiology | 355 East Route 83, Mundelein, IL 60060 | 2011-10-10 |
| 1669701389 | Dui & Addiction Counseling Center | Community/Behavioral Health | 333 E. Illinois Route 83, B7, Mundelein, IL 60060 | 2009-12-08 |
| 1427281591 | Accuvision Inc | Optometrist | 824 North Illinois Route 83, Mundelein, IL 60060 | 2009-08-24 |
| Find all providers in zip 60060 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707298 | Eliza Ballen | Physician Assistant | 335 Sylvan Rd, Lake Bluff, IL 60044-2562 | 2020-07-21 |
| 1477177947 | Rybecca Janovyak | Physician Assistant | 14432 High Rd, Lockport, IL 60441-9402 | 2020-06-01 |
| 1518591759 | Julie Jenkot | Physician Assistant | 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 | 2020-02-26 |
| 1801429873 | Hinjal D Jha | Physician Assistant | 22285 N Pepper Rd Ste 409, Lake Barrington, IL 60010-2542 | 2020-02-19 |
| 1770120222 | Alvina Shaikh | Physician Assistant | 4009 Warren Ave, Bellwood, IL 60104-2066 | 2019-12-03 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1538705272 | Bethany Mae Frisby | Physician Assistant | 8630 W Golf Rd, Niles, IL 60714-5600 | 2019-11-18 |
| 1134761984 | Ella-marie Rakowski | Physician Assistant | 25 Acorn Dr, Hawthorn Woods, IL 60047-7407 | 2019-10-14 |
| 1467001859 | Timothy Omotayo Adesanya | Physician Assistant | Graham Correctional Center, 12078 Illinois Rte 185, Hilliboro, IL 62049 | 2019-09-09 |
| 1518514066 | Victoria Moore | Physician Assistant | 979 W Main St, West Dundee, IL 60118-2088 | 2019-08-20 |
| Find all providers with the same taxonomy | ||||
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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.