DR. SUSAN J LADUZINSKY (NPI# 1942202155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942202155 |
| Entity Type | Individual |
| Full Name | DR. SUSAN J LADUZINSKY |
| Credential | MD |
| Practice Address |
4000 N Illinois Ln Ste B Swansea IL 62226-1969 |
| Mailing Address |
660 S Euclid Ave Cb 8224 Saint Louis MO 63110-1010 |
| Practice Telephone | 6182361000 |
| Practice Fax Number | 6182369847 |
| Mailing Telephone | 6182361000 |
| Mailing Fax Number | 6182369847 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2018-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
036.081547 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
4000 N ILLINOIS LN STE B |
| City | SWANSEA |
| State | IL |
| Zip Code | 62226-1969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417590720 | Lauren Eck | Nurse Practitioner | 4000 N Illinois Ln, Swansea, IL 62226-1969 | 2019-10-21 |
| 1639711963 | Staci Ladowitz | Physician Assistant | 4000 N Illinois Ln, Swansea, IL 62226-1969 | 2019-10-08 |
| 1851618995 | Jason Dole Lee | Radiology | 4000 N Illinois Ln, Ste B, Swansea, IL 62226-1969 | 2010-04-29 |
| 1780762104 | Laboratory Corporation of America | Clinical Medical Laboratory | 4000 N Illinois Ln, Ste D, Swansea, IL 62226-1969 | 2006-11-02 |
| 1306894233 | Samuel A. Burstein | Internal Medicine | 4000 N Illinois Ln, Suite C, Swansea, IL 62226-1969 | 2006-05-04 |
| 1861440661 | Guillermo Rodriguez Jr. | Internal Medicine | 4000 N Illinois Ln, Ste C, Swansea, IL 62226-1969 | 2006-05-04 |
| 1033167846 | John L Visconti | Internal Medicine | 4000 N Illinois Ln, Ste C, Swansea, IL 62226-1969 | 2006-05-04 |
| 1073501607 | Alfred O Greco | Internal Medicine | 4000 N Illinois Ln, Ste C, Swansea, IL 62226-1969 | 2005-10-07 |
| 1740282953 | Prasad R Kurichety | Radiology | 4000 N Illinois Ln, Suite B, Swansea, IL 62226-1969 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1053969790 | Consistent Medical Transportation | Driver | 2012 N 17th St, Swansea, IL 62226 | 2019-08-27 |
| 1497314371 | Medi-plex Hospice of Illinois, LLC | Registered Nurse | 8 Park Place, Suite #3, Swansea, IL 62226 | 2019-06-13 |
| 1336617364 | Nicole Renee Schmidt | Speech-Language Pathologist | 150 N 27th St., Belleville, IL 62226 | 2018-11-07 |
| 1295258903 | Catherine Espino | Pharmacist | 11 Chambers Blvd, Swansea, IL 62226 | 2017-07-25 |
| 1366806838 | Kiley Faires | Nurse Practitioner | 4600 Memorial Drive Ste 360, Belleville, IL 62226 | 2016-04-11 |
| 1760857585 | Mvp Transportation | Non-emergency Medical Transport (VAN) | 1229 N 17th Street, Number 23, Belleville, IL 62226 | 2015-12-04 |
| 1275952566 | Aisha Danyale Franklin | Internal Medicine | 4261 Woodfield Pl, Belleville, IL 62226 | 2014-04-15 |
| 1396168332 | Jayne E. Ninness | Physical Therapy Assistant | 4500 Memorial Dr., Memorial Hospital, Belleville, IL 62226 | 2014-01-28 |
| 1053758193 | Gateway Foundation, Inc. | Clinic/Center | 1 Bronze Point, Suite 1, Swansea, IL 62226 | 2013-05-30 |
| Find all providers in zip 62226 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851618995 | Jason Dole Lee | Radiology | 4000 N Illinois Ln, Ste B, Swansea, IL 62226-1969 | 2010-04-29 |
| 1740282953 | Prasad R Kurichety | Radiology | 4000 N Illinois Ln, Suite B, Swansea, IL 62226-1969 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629690185 | Illinois Radiation Oncology Consultants Pllc | Radiology | 208 Flax Dr Ste 100, Highland, IL 62249-1396 | 2020-05-07 |
| 1770070609 | Brian Chou | Radiology | 2160 S 1st Ave Rm 2944, Maywood, IL 60153-3328 | 2018-04-17 |
| 1932606654 | Amishi Bajaj | Radiology | 2011 Midwest Club Pkwy, Oak Brook, IL 60523-2526 | 2018-04-09 |
| 1629502208 | Nathaniel Camden | Radiology | 500 South Paulina Street, Atrium Building, Ground Floor, Chicago, IL 60612-3833 | 2017-04-20 |
| 1811436553 | Seung Won Seol | Radiology | 251 E Huron St Ste Lc-178, Chicago, IL 60611 | 2017-02-14 |
| 1689051328 | Ross Scott Zeitlin | Radiology | 1901 W Harrison St Ste Ll-500, Chicago, IL 60612-3714 | 2015-05-01 |
| 1730578527 | Jeffrey Gross | Radiology | 6525 N Mozart St, Apt 3, Chicago, IL 60645-4377 | 2015-01-15 |
| 1508267220 | Vantage Cancer Care - Illinois, S.c. | Radiology | 17750 South Kedzie Avenue, Hazel Crest, IL 60429-2047 | 2014-09-12 |
| 1952714636 | Aditya Juloori | Radiology | 5841 S Maryland Ave # Mc9006, Chicago, IL 60637-1443 | 2014-06-10 |
| 1083047146 | Yoon Tae Kim | Radiology | 1025 Sunset Rd, Winnetka, IL 60093-3622 | 2013-08-13 |
| 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.