MS. DANUTA B SUPERSON (NPI# 1023496395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023496395 |
| Entity Type | Individual |
| Full Name | MS. DANUTA B SUPERSON |
| Credential | LMT |
| Practice Address |
8364 W Grand Ave River Grove IL 60171 |
| Mailing Address |
763 Dover Pl Wheeling IL 60090 |
| Practice Telephone | 7084525686 |
| Practice Fax Number | 7084521648 |
| Mailing Telephone | 7735010306 |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 227000934 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
8364 W GRAND AVE |
| City | RIVER GROVE |
| State | IL |
| Zip Code | 60171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063890283 | Davina Harris | Massage Therapist | 8364 W. Grand Avenue, River Grove, IL 60171 | 2015-05-07 |
| 1811150410 | Thtacher Woods Associates Ltd | Clinic/Center | 8383 W Belmont Ave, Suite 200, River Grove, IL 60171 | 2008-07-03 |
| 1235327941 | S. David Demorest | Clinic/Center | 8383 Belmont Avenue, River Grove, IL 60171 | 2007-10-09 |
| 1568527661 | River Grove Clinic | Family Medicine | 8383 N Belmont, River Grove, IL 60171 | 2006-12-27 |
| 1972533081 | Village of River Grove | Ambulance | 2601 Thatcher, River Grove, IL 60171 | 2006-07-04 |
| 1831687680 | Matthew L Garstki | Physical Therapist | 8937 Grand Ave, River Grove, IL 60171 | 2018-04-27 |
| 1720509458 | Grant Thomas Miller | Optometrist | 8362 Grand Ave, River Grove, IL 60171 | 2017-07-03 |
| 1386022549 | Izabela S Fratczak | Massage Therapist | 8364 Grand Ave, River Grove, IL 60171 | 2015-05-08 |
| 1568431377 | Michael Dean Dralle | Specialist/Technologist | 8937 Grand Ave, Athletico Sports Medicine and Pt Centers, River Grove, IL 60171 | 2006-03-15 |
| 1164439907 | Gregory Amadeo Bertagna | Dentist | 8383 Belmont Ave, Suite 200, River Grove, IL 60171-1000 | 2006-08-02 |
| Find all providers in zip 60171 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063890283 | Davina Harris | Massage Therapist | 8364 W. Grand Avenue, River Grove, IL 60171 | 2015-05-07 |
| 1386022549 | Izabela S Fratczak | Massage Therapist | 8364 Grand Ave, River Grove, IL 60171 | 2015-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627872 | Patricia Pollard | Massage Therapist | 4437 N Lowell Ave Apt 2, Chicago, IL 60630-4103 | 2020-10-23 |
| 1497354104 | Lola Sanders | Massage Therapist | 844 Wilshire Dr, Belleville, IL 62223-2623 | 2020-10-22 |
| 1003415001 | Amanda L Klimczak | Massage Therapist | 1231 Ridgeland Ave, Berwyn, IL 60402-1142 | 2020-10-21 |
| 1093314148 | Jody Lee Hazel | Massage Therapist | 1750 E Colborn Camp Ln, Noble, IL 62868-2348 | 2020-10-20 |
| 1194323352 | Vanina Barnett | Massage Therapist | 112 Sussex Cir, Schaumburg, IL 60193-1835 | 2020-10-10 |
| 1063029676 | Natasha White | Massage Therapist | 8235 S Kingston Ave, Chicago, IL 60617-1909 | 2020-09-28 |
| 1407463029 | Danielle Wright | Massage Therapist | 132 S Water St Ste 430, Decatur, IL 62523-2305 | 2020-09-28 |
| 1316554272 | Paula Marie Zaloga-nowak | Massage Therapist | 4942 N Melvina Ave, Chicago, IL 60630-2908 | 2020-09-24 |
| 1780291872 | Jennifer Marshall | Massage Therapist | 6920 W 110th St, Worth, IL 60482-1425 | 2020-09-23 |
| 1326654690 | Helene Decourchelle | Massage Therapist | 3524 N Marshfield Ave Ph, Chicago, IL 60657-1248 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
| City | RIVER GROVE |
| Zip Code | 60171 |
Please comment or provide details below to improve the information on MS. DANUTA B SUPERSON.
| 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.