SUSAN ELIZABETH TUCKER (NPI# 1912266768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912266768 |
Entity Type | Individual |
Full Name | SUSAN ELIZABETH TUCKER |
Other Name | SUSAN ELIZABETH LEFKOW |
Credential | M.D. |
Practice Address |
2001 N Gary Ave Ste 240 Wheaton IL 60187 |
Mailing Address |
2001 N Gary Ave Ste 240 Wheaton IL 60187-3055 |
Practice Telephone | 6304164501 |
Practice Fax Number | 6304164504 |
Mailing Telephone | 6304164501 |
Mailing Fax Number | 6304164504 |
Enumeration Date | 2012-05-15 |
Last Update Date | 2019-11-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | 036.137.392 | IL | Allopathic & Osteopathic Physicians |
Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
036.137392 | IL | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
1315 Macom Dr Ste 7, Naperville, IL 605649362 | 6304164501 | 6304164504 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497058044 | Susan Tucker | Doula | 17 Springhill Dr, Cazadero, CA 95421-9618 | 2010-12-20 |
1639479876 | Susan J Tucker | Physical Therapist | 8335 Valley View Dr, Overland Park, KS 66212-1915 | 2010-10-21 |
1013942796 | Susan Rona Tucker | Psychiatry & Neurology | 367 Route 120 Unit B8, Lebanon, NH 03766-1430 | 2006-07-11 |
1407831183 | Susan Corley Tucker | Counselor | 2330 Timber Shadows Dr, Suite 202, Humble, TX 77339-2041 | 2005-12-14 |
1992290738 | Susan Tucker | Speech-Language Pathologist | 5840 Interface Dr Ste 400, Ann Arbor, MI 48103-9176 | 2018-06-25 |
1982961751 | Susan Rebecca Tucker | Internal Medicine | 65 Community Rd, Suite C, Tallmadge, OH 44278-2358 | 2012-04-18 |
1578664462 | Susan Mary Tucker | Ophthalmology | 1 Essex Center Dr, Lahey Clinic, Peabody, MA 01960-2901 | 2006-09-26 |
1558394429 | Susan M Tucker | Occupational Therapist | 4444 Forest Park Ave, Saint Louis, MO 63108-2212 | 2006-07-07 |
1063492049 | Susan S Tucker | Nurse Anesthetist, Certified Registered | 800 Montclair Rd, Birmingham, AL 35213 | 2006-01-18 |
Street Address |
2001 N GARY AVE STE 240 |
City | WHEATON |
State | IL |
Zip Code | 60187 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700256153 | Diane Marie Ellig | Nurse Practitioner | 2001 N Gary Ave Ste 240, Wheaton, IL 60187-3055 | 2015-09-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811510738 | Arielle Susan Kalvelage | Counselor | Central Public Health Center (cphc), 111 N. County Farm Road, Wheaton, IL 60187 | 2020-05-27 |
1801418363 | Peter Gerard Harvey | Acupuncturist | 200 East Willow Avenue, Suite 202, Wheaton, IL 60187 | 2020-05-07 |
1760028823 | Teresa Clasen | Counselor | 222 Willow Ave, Wheaton, IL 60187 | 2019-11-25 |
1821630757 | Eastern Healing Inc. | Acupuncturist | 200 E. Willow Ave., Suite 202, Wheaton, IL 60187 | 2019-10-11 |
1952816282 | Caprishea Jones | Counselor | 111 N County Farm Road, Wheaton, IL 60187 | 2017-12-08 |
1265880330 | Bryan Cairncross | Specialist/Technologist | 1503 Beecher Ave., Wheaton, IL 60187 | 2016-05-31 |
1811357544 | Patricia Diaz | Nurse Practitioner | 0n620 West Street, Wheaton, IL 60187 | 2016-02-23 |
1962819227 | Breakthrough Care Center | Clinic/Center | 150 E. Willow Ave, Ste 100, Wheaton, IL 60187 | 2014-07-18 |
1780005587 | Kyler Mulhauser | Counselor | 600 W. Roosevelt Rd, Suite A2, Wheaton, IL 60187 | 2013-12-20 |
1538593074 | Deborah Bates | Psychologist | 300 E Roosevelt Rd Ste 105, Wheaton, IL 60187 | 2013-08-31 |
Find all providers in zip 60187 |
Taxonomy Code | 2080P0205X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Endocrinology |
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942467246 | Carrie Ann Zimmer | Pediatrics | 2001 N Gary Ave, Suite 240, Wheaton, IL 60187-3055 | 2008-05-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396163671 | Mary Mccauley | Pediatrics | 5841 S Maryland Ave # Mc5053, Chicago, IL 60637-1447 | 2014-04-02 |
1891137394 | Ahmed Mohamed Torky | Pediatrics | 301 N 8th St Ste 3a169, Springfield, IL 62701-1041 | 2013-07-24 |
1790068872 | Stuart Roy Kupfer | Pediatrics | 1 Takeda Pkwy, Deerfield, IL 60015-5713 | 2011-09-24 |
1780983163 | Magdalena Dumin | Pediatrics | 1675 Dempster St Fl 2, Park Ridge, IL 60068 | 2011-03-24 |
1447261524 | Jennifer Lynn Miller | Pediatrics | 6501 S Promontory Dr, Chicago, IL 60649-1003 | 2006-08-11 |
1710955885 | Sue E Sauder | Pediatrics | 507 E Armstrong, Regional Development Center, Peoria, IL 61603 | 2006-03-14 |
1962939579 | Apoorva Aekka | Pediatrics | 225 E Chicago Ave # 54, Chicago, IL 60611-2991 | 2017-05-12 |
1659740033 | Presence Hospitals Prv | Pediatrics | 301 Madison St, Suite 302, Joliet, IL 60435-6549 | 2015-09-16 |
1891058830 | Michelle Blanco Lemelman | Pediatrics | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2012-06-22 |
1760768121 | Adventist Health Partners, Inc | Pediatrics | 12 Salt Creek Ln, Ste 106, Hinsdale, IL 60521-8605 | 2011-10-31 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on SUSAN ELIZABETH TUCKER.
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.