DR. SUSAN CORCORAN (NPI# 1982062899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982062899 |
| Entity Type | Individual |
| Full Name | DR. SUSAN CORCORAN |
| Credential | PHARMD |
| Practice Address |
4201 W Medical Center Dr Mchenry IL 60050-8409 |
| Mailing Address |
9314 Beaver Pond Ct Village of Lakewood IL 60014-6704 |
| Practice Telephone | 8157594400 |
| Mailing Telephone | 8477323603 |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | S012823 | AZ | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 051290962 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063554707 | Susan Corcoran | Speech-Language Pathologist | 439 Hamilton Meadows Dr, Fenton, MO 63026-3986 | 2007-02-12 |
| 1902863467 | Susan A Corcoran | Advanced Practice Midwife | 21358 Highway 99e Ne, Aurora, OR 97002-9201 | 2006-04-27 |
| 1831218023 | Susan Eades Corcoran | Counselor | 300 Mercer St, Ste. 3l, New York, NY 10003-6724 | 2007-03-28 |
| 1265523450 | Susan Klimas Corcoran | Occupational Therapist | 1100 Blythe Blvd, Charlotte, NC 28203-5814 | 2006-09-27 |
| Street Address |
4201 W MEDICAL CENTER DR |
| City | MCHENRY |
| State | IL |
| Zip Code | 60050-8409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710973458 | John A. Sharum | Physician Assistant | 4201 W Medical Center Dr, Emergency Department, Mchenry, IL 60050-8409 | 2005-09-27 |
| 1245869502 | Haile E Fitzgerald | Nurse Anesthetist, Certified Registered | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2020-04-07 |
| 1013546639 | Thiago Gagliano Juca Domingues De Oliveira | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2020-04-06 |
| 1619506508 | Shirly Susan Samuel | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2020-04-03 |
| 1831728856 | Grace Ying | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2020-04-02 |
| 1356970347 | Om Parkash | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2020-04-02 |
| 1164052023 | Apollo Medflight, LLC | Ambulance | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2020-01-20 |
| 1770142622 | Annie Maria Skariah | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2019-06-12 |
| 1730747809 | Aatma Ram | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2019-06-03 |
| 1245898923 | Harvey Patel | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2019-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
| 1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
| 1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
| 1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
| 1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
| 1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
| 1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
| 1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
| 1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
| Find all providers in zip 60050 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
| 1851748396 | Denise Coli | Pharmacist | 4222 W Elm St, Mchenry, IL 60050-4030 | 2016-05-13 |
| 1033545900 | Dale Brian Christensen Jr. | Pharmacist | 942 Wiltshire Drive, Mchenry, IL 60050 | 2013-09-23 |
| 1174818322 | Lisa L. Bhatta | Pharmacist | 1860 N. Richmond Rd., Mchenry, IL 60051-5416 | 2011-06-16 |
| 1336434976 | Marc Joseph Garavalia | Pharmacist | 2253 N Richmond Rd, Mchenry, IL 60051-5401 | 2011-06-11 |
| 1568794774 | Angie Lee | Pharmacist | 1900 N Richmond Rd, Mchenry, IL 60051-5402 | 2010-02-12 |
| 1205823283 | Allen Sounhein | Pharmacist | 4100 Veterans Pkwy, Mchenry, IL 60050-8350 | 2005-10-04 |
| 1255946182 | Martyna Turkowicz | Pharmacist | 3925 W Elm St, Mchenry, IL 60050-4361 | 2020-09-08 |
| 1447863402 | Sarah Beth Chismark | Pharmacist | 3925 W Elm St, Mchenry, IL 60050-4361 | 2020-08-28 |
| 1245843127 | Rafay Ahmed | Pharmacist | 3925 W Elm St, Mchenry, IL 60050-4361 | 2020-08-28 |
| Find all providers in MCHENRY | ||||
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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.