PAUL ERWIN SUSMAN (NPI# 1720059157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720059157 |
Entity Type | Individual |
Full Name | PAUL ERWIN SUSMAN |
Credential | PHD |
Practice Address |
Great Lakes Naval Base North Chicago North Chicago IL 60088 |
Mailing Address |
8649 Saint Louis Ave Suite 2 Skokie IL 60076-2315 |
Practice Telephone | 8476887406 |
Mailing Telephone | 8476751637 |
Enumeration Date | 2006-02-01 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
Street Address |
GREAT LAKES NAVAL BASE NORTH CHICAGO |
City | NORTH CHICAGO |
State | IL |
Zip Code | 60088 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043858228 | Kathryn Ann Bird | Dentist | 3440 W Ohio St, Uss Osborne Branch Dental Clinic, Great Lakes, IL 60088 | 2019-12-18 |
1740775576 | Jonathan William Criter | Dentist | 3400 Ohio St, Great Lakes, IL 60088 | 2018-06-25 |
1134598733 | True Xiong | Dentist | Zachary & Elizabeth Fisher Medical & Dental Clinic, 2470 Sampson Street, Apo, AA 60088 | 2015-09-24 |
1447685771 | Lisa Carol Perrone | Dentist | Fhcc Lovell Bldg 237 Dental, Navsta Great Lakes, North Chicago, IL 60088 | 2013-09-05 |
1437438421 | David Lawrence Green | Dentist | 2410 Samson St., Bldg 237, Great Lakes, IL 60088 | 2011-08-09 |
1164730602 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois Street, Great Lakes, IL 60088 | 2010-09-17 |
1598073439 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois St, Bldg 1007, Great Lakes, IL 60088 | 2010-09-14 |
1164736302 | Clinton Lariscy | Military Health Care Provider | 3355 Illinois St, Recruit Training Command Great Lakes, Great Lakes, IL 60088 | 2010-07-29 |
1083943906 | James Doll | Dentist | 2608 Paul Jones St, Great Lakes, IL 60088 | 2009-12-24 |
1396996823 | Kelly Robert Lanning | Dentist | 3001 A 6th St Bhc 237, Naval Hospital Great Lakes- Dental Dept., Great Lakes, IL 60088 | 2008-10-02 |
Find all providers in zip 60088 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588861579 | Paul Smiley | Psychologist | 3001 N. Green Bay Rd, (116b), North Chicago, IL 60064-3048 | 2007-07-02 |
1578587861 | Mark Lawrence Rosenblum | Psychologist | 3001 Greeenbay Road, North Chicago, IL 60064 | 2006-07-27 |
1912547969 | Emily O'hara | Psychologist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-01-07 |
1124662572 | Matthew Welsh | Psychologist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2019-10-29 |
1750924270 | Colby Schepps | Psychologist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2019-10-28 |
1437792678 | Jayna Ann Harthan | Psychologist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2019-10-21 |
1174166409 | Suchi Daga | Psychologist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2019-10-18 |
1992261366 | Ariela Yasova-zaffos | Psychologist | 3001 Green Bay Road, 16b (b7, Room 224), North Chicago, IL 60004 | 2019-02-11 |
1467926253 | Jeffery Michael Vergo | Psychologist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2019-01-15 |
1386135994 | Ashley Marie Harries | Psychologist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2018-05-21 |
Find all providers in NORTH CHICAGO |
City | NORTH CHICAGO |
Zip Code | 60088 |
Please comment or provide details below to improve the information on PAUL ERWIN SUSMAN.
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.