Susan B Slattery (NPI# 1821035031, PAC ID# 0547271777) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1821035031 |
| PAC ID by PECOS | 0547271777 |
| Professional Enrollment ID | I20150211000352 |
| Full Name | Susan B Slattery |
| Organization Legal Name | LIFE LINE COMMUNITY HEALTHCARE |
| Address |
1655 S Blue Island Ave Suite 361 Chicago IL 60608-2133 |
| Phone Number | 8665795103 |
| Gender | F |
| Credential | CNM |
| Graduation Year | 1992 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7416170501 |
| Number of Group Practice Members | 81 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1655 S Blue Island Ave, Suite 361, Chicago, IL 60608-2133 | 8665795103 | LIFE LINE COMMUNITY HEALTHCARE |
| 1655 S Blue Island Ave, Chicago, IL 60608-2133 | 8665795103 | LIFE LINE COMMUNITY HEALTHCARE |
| 1039 W Mason St, Green Bay, WI 54303-1842 | 8665795103 | LIFE LINE COMMUNITY HEALTHCARE |
| Organization Legal Name | LIFE LINE COMMUNITY HEALTHCARE |
| Physicians | 95 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ciara L Eatmon | Nurse Practitioner | Life Line Community Healthcare | 625 Kenmoor Ave Se, Suite 301, Grand Rapids, MI 49546-2395 |
| Sharon Lee Morris | Nurse Practitioner | Life Line Community Healthcare | 309 Court Ave, Suite 816, Des Moines, IA 50309-2282 |
| Laura Ann Rogers | Nurse Practitioner | Life Line Community Healthcare | 400 Chesterfield Ctr, Suite 400, Chesterfield, MO 63017-4800 |
| Marian Anne Ferguson | Nurse Practitioner | Life Line Community Healthcare | 1518 Willow Lawn Dr, Richmond, VA 23230-3419 |
| Wendy Ann Lunny | Nurse Practitioner | Life Line Community Healthcare | 615 W Johnson Ave, Cheshire, CT 06410-4532 |
| Laurie Eastwood Raher | Nurse Practitioner | Life Line Community Healthcare | 7455 Arroyo Crossing Pkwy, Suite 220, Las Vegas, NV 89113-4088 |
| Grace D Ortega-walker | Nurse Practitioner | Life Line Community Healthcare | 109 E 17th St, Suite 4984, Cheyenne, WY 82001-4543 |
| Deirdre Lott | Nurse Practitioner | Life Line Community Healthcare | 406 S Boulder Ave, Suite 400, Tulsa, OK 74103-3800 |
| Shimmy Manoj | Nurse Practitioner | Life Line Community Healthcare | 1655 S Blue Island Ave, Suite 361, Chicago, IL 60608-2133 |
| Bryn Miller | Nurse Practitioner | Life Line Community Healthcare | 6111 Oak Tree Blvd, Suite 301, Independence, OH 44131-2589 |
| Street Address |
1655 S BLUE ISLAND AVE SUITE 361 |
| City | CHICAGO |
| State | IL |
| Zip | 60608-2133 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shimmy Manoj | Nurse Practitioner | Life Line Community Healthcare | 1655 S Blue Island Ave, Suite 361, Chicago, IL 60608-2133 |
| Ellen Leonardi | Nurse Practitioner | Life Line Community Healthcare | 1655 S Blue Island Ave, Suite 361, Chicago, IL 60608-2133 |
| June Smalec | Clinical Nurse Specialist | Life Line Community Healthcare | 1655 S Blue Island Ave, Chicago, IL 60608-2133 |
| Lori Truetzschler-davis | Nurse Practitioner | Life Line Community Healthcare | 1655 S Blue Island Ave, Chicago, IL 60608-2133 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Augusto J Guevara | Internal Medicine | Home Physicians 2011 PC | 1340 S Damen Ave, Chicago, IL 60608-1169 |
| Jigar V Joshi | Hospice/palliative Care | Vitas Health Services of Texas Pa | 1340 S Damen Ave, Suite 200, Chicago, IL 60608-1170 |
| David Clayton Walthall | Nurse Practitioner | Vitas Health Services of Texas Pa | 1340 S Damen Ave, Suite 200, Chicago, IL 60608-1170 |
| Gregory A Nichols | Nurse Practitioner | Vitas Health Services of Texas Pa | 1340 S Damen Ave, Suite 200, Chicago, IL 60608-1170 |
| Brian Coffey | Optometry | The Chicago Lighthouse for People Who Are Blind Or Visually Impaired | 1850 W Roosevelt Rd, Chicago, IL 60608-1228 |
| Michael C Smith | Psychologist, Clinical | The Chicago Lighthouse for People Who Are Blind Or Visually Impaired | 1850 W Roosevelt Rd, Chicago, IL 60608-1228 |
| Gerald A Fishman | Ophthalmology | The Chicago Lighthouse for People Who Are Blind Or Visually Impaired | 1850 W Roosevelt Rd, Chicago, IL 60608-1228 |
| Frederick T Collison | Optometry | The Chicago Lighthouse for People Who Are Blind Or Visually Impaired | 1850 W Roosevelt Rd, Chicago, IL 60608-1228 |
| Namrata Donthamsetti | Optometry | The Chicago Lighthouse for People Who Are Blind Or Visually Impaired | 1850 W Roosevelt Rd, Chicago, IL 60608-1228 |
| Christopher T Pereira | Optometry | The Chicago Lighthouse for People Who Are Blind Or Visually Impaired | 1850 W Roosevelt Rd, Chicago, IL 60608-1228 |
| Find all physicians in zip 60608 | |||
| City | CHICAGO |
| Zip Code | 60608 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CHICAGO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Susan B Slattery.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.