SUSANNE K WOLOSON MD PHD SC (NPI# 1952300303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952300303 |
| Entity Type | Organization |
| Organization Name | SUSANNE K WOLOSON MD PHD SC |
| Practice Address |
1614 W Central Rd Suite 100 Arlington Heights IL 60005-2490 |
| Mailing Address |
1614 W Central Rd Suite 100 Arlington Hts IL 60005-2490 |
| Practice Telephone | 8475775814 |
| Mailing Telephone | 8475775814 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2015-09-24 |
| Authorized Official Name | SUSANNE K WOLOSON (CHAIR) |
| Authorized Official Telephone | 8475775814 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
1614 W CENTRAL RD SUITE 100 |
| City | ARLINGTON HEIGHTS |
| State | IL |
| Zip Code | 60005-2490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649655739 | Accumed Center, S.c. | Clinic/Center | 1614 W Central Rd, Arlington Heights, IL 60005-2490 | 2015-07-30 |
| 1447665849 | Dspdc, LLC | Chiropractor | 1614 W Central Rd, Suite 209, Arlington Heights, IL 60005-2490 | 2014-06-24 |
| 1780946145 | Anthony Michael Laporte Jr. | Dentist | 1614 W Central Rd, Suite 106, Arlington Heights, IL 60005-2490 | 2012-06-12 |
| 1609140409 | Central Eye Care Ltd | Ophthalmology | 1614 W Central Rd, Suite 107, Arlington Heights, IL 60005-2490 | 2012-02-27 |
| 1417284431 | S.w. Furmanek, D.d.s.,p.c. | Dentist | 1614 W Central Rd, Suite 212, Arlington Heights, IL 60005-2490 | 2009-11-11 |
| 1578728549 | Satish N Patel | Family Medicine | 1614 W Central Rd, Suite 209, Arlington Heights, IL 60005-2453 | 2008-07-18 |
| 1467639104 | Muhammad Shoaib Khan, D.m.d., P.C. | Dentist | 1614 W Central Rd, Suite 111, Arlington Heights, IL 60005-2490 | 2008-01-24 |
| 1679773055 | Dzejna Mezbur | Optometrist | 1614 W Central Rd, Suite 100, Arlington Heights, IL 60005-2490 | 2007-07-23 |
| 1891901062 | Rosemary Misook Radford | Physical Therapist | 1614 W Central Rd, Suite 208, Arlington Heights, IL 60005 | 2007-05-15 |
| 1174646285 | Northwest Medical Clinic Sc | Family Medicine | 1614 W Central Rd, Suite 209, Arlington Heights, IL 60005-2490 | 2007-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033673330 | Salario Senior Care, Inc. | In Home Supportive Care | 1020 S. Arlington Heights Road Ste 1 Nw, Arlington Heights, IL 60005 | 2019-01-31 |
| 1265922355 | Kathy Pawlusiewicz Dds. Dba Prospect Dental | Dentist | 1120 E. Central Rd., Arlington Heights, IL 60005 | 2018-05-14 |
| 1316437890 | Darcy L Marr | Orthopaedic Surgery | 3030 Salt Creek Lane, Suite 100, Arlington Heights, IL 60005 | 2018-05-10 |
| 1679076269 | Patrick O'neill | Specialist/Technologist | 1115 W Francis Dr, Arlington Hts, IL 60005 | 2018-03-09 |
| 1326556861 | Danielle Marie Frye Hughes | Chiropractor | 825 E Golf Rd Ste 1147, Arlington Heights, IL 60005 | 2018-01-18 |
| 1568977890 | Nicole L Pollard | Counselor | 121 New Wilke Road, Suite 101, Arlington Heights, IL 60005 | 2017-12-08 |
| 1477062701 | New Family Dental | Dentist | 1768 W Algonqun Rd, Arlington Heights, IL 60005 | 2017-09-29 |
| 1346775715 | Laura Marie Ipjian | Counselor | 121 S Wilke Rd Ste 232, Arlington Heights, IL 60005 | 2017-04-24 |
| 1285051615 | Christopher Colby | Student in an Organized Health Care Education/Training Program | 1600 W. Cnetral Rd., Arlington Heights, IL 60005 | 2014-03-24 |
| 1497181697 | Legacy Medical Care Inc | Clinic/Center | 121 S. Wilke Rd, Suite 600, Arlington Heights, IL 60005 | 2013-09-19 |
| Find all providers in zip 60005 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215989504 | Samer F Najjar Md LLC | Surgery | 15 Dryden Place, Arlington Heights, IL 60004 | 2006-05-16 |
| 1336148790 | Thomas Painter Md LLC | Surgery | 15 S Dryden Pl, Arlington Heights, IL 60004-6369 | 2005-07-19 |
| 1902164437 | Nida Ahmed | Surgery | 880 W Central Rd Ste 7100, Arlington Heights, IL 60005-2379 | 2012-05-03 |
| 1124079249 | John D Edwards | Surgery | 880 W Central Rd, Suite 5000, Arlington Heights, IL 60005-2355 | 2006-05-13 |
| 1487646535 | Elizabeth Talley Clark | Surgery | 1614 W Central Rd, Suite 100, Arlington Heights, IL 60005-2490 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396267324 | Congress Vascular Center LLC | Surgery | 41 W Congress Pkwy Fl 1, Chicago, IL 60605-1531 | 2017-07-11 |
| 1043731300 | Elmwood Park Vascular Center LLC | Surgery | 7230 W North Ave Ste 108, Elmwood Park, IL 60707-4261 | 2017-06-27 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1992126668 | Vascular Specialists LLC | Surgery | 20060 Governors Dr Ste 102, Olympia Fields, IL 60461-1099 | 2013-12-26 |
| 1588959548 | Patrick Michael Sullivan Neville | Surgery | 4600 Memorial Dr Ste 120, Belleville, IL 62226-5359 | 2011-06-17 |
| 1235454968 | Margaret Claire Rigamer | Surgery | 1901 W Harrison St Dept Of, Chicago, IL 60612-3714 | 2010-04-06 |
| 1215251541 | John V. White, Md, LLC | Surgery | 8816 W Dempster St, Niles, IL 60714-5109 | 2010-03-15 |
| 1710212733 | Vascular Surgery and Interpretation S.c. | Surgery | 3330 W 177th St Ste 2c1, Hazel Crest, IL 60429-2184 | 2009-10-08 |
| 1538391792 | Usa Vein Clinics of Chicago LLC | Surgery | 4141 Dundee Rd, Northbrook, IL 60062-2129 | 2009-08-20 |
| 1306010731 | Tanq, Inc. | Surgery | 18510 S Marilynn Ct, Mokena, IL 60448-9517 | 2008-04-16 |
| Find all providers with the same taxonomy | ||||
| City | ARLINGTON HEIGHTS |
| Zip Code | 60005 |
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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.