MS. SUSAN M. GIACCHINO


Address: 555 W Court St, Suite 108, Kankakee, IL 60901-3664
Phone: 8159372015

MS. SUSAN M. GIACCHINO (NPI# 1104845833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104845833
Entity Type Individual
Full Name MS. SUSAN M. GIACCHINO
Credential APN
Practice Address 555 W Court St
Suite 108
Kankakee
IL 60901-3664
Mailing Address 901 Mcclintock Dr
Suite 202
Burr Ridge
IL 60527-0871
Practice Telephone 8159372015
Mailing Telephone 8882206432
Mailing Fax Number 6306544253
Enumeration Date 2006-07-19
Last Update Date 2013-12-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SC0200X Clinical Nurse Specialist
Specialization: Critical Care Medicine
209-002386 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 555 W COURT ST
SUITE 108
City KANKAKEE
State IL
Zip Code 60901-3664

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003802349 Martin T Phillips Internal Medicine 555 W Court St, Suite 108, Kankakee, IL 60901-3664 2005-09-22
1083972863 Michel H. Malek, M.d. PC Non-Pharmacy Dispensing Site 555 W Court St, Suite 412, Kankakee, IL 60901-3664 2012-04-30
1194035360 Michel H. Malek, Md Sc Neurological Surgery 555 W Court St, Suite 412, Kankakee, IL 60901-3664 2010-10-20
1902112535 Fabiola Maria Del Carmen Espinoza Internal Medicine 555 W Court St, Suite 108, Kankakee, IL 60901-3664 2010-08-20
1053623801 Community Pain Consultants, Ltd Specialist 555 W Court St, Suite 100, Kankakee, IL 60901-3664 2010-07-09
1518296938 Donald E Krause Dds Ltd Clinic/Center 555 W Court St, Suite 102, Kankakee, IL 60901-3664 2009-12-14
1982844684 Kankakee Pain Surgical Suite, LLC Clinic/Center 555 W Court St, Suite 100, Kankakee, IL 60901-3664 2009-02-20
1255578118 Kankakee Area Pharmacy Inc Durable Medical Equipment & Medical Supplies 555 W Court St, Ste 101, Kankakee, IL 60901-3664 2009-01-14
1457519969 Consultants In Pathology Sc Pathology 555 W Court St, Suite 300, Kankakee, IL 60901-3664 2008-05-30
1114127800 Misbah Uddin Ahmed Md Sc Internal Medicine 555 W Court St, Ste 200, Kankakee, IL 60901-3664 2007-07-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558978841 William Mitsos Dds Dentist 1291 S. 7th Ave, Kankakee, IL 60901 2020-09-30
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1700346327 Sarah Elizabeth Toma Speech-Language Pathologist 200 E Court St #708, Kankakee, IL 60901 2019-03-20
1710473160 Small Talk Speech Services, LLC Clinic/Center 1439 W Vanmeter St, Kankakee, IL 60901 2018-07-09
1124538004 Amy J Green Physical Therapist 350 N. Wall Street, Kankakee, IL 60901 2017-10-05
1013457514 Elizabeth Ann Smith Registered Nurse 292 Charlton Lane, Kankakee, IL 60901 2017-03-02
1861931461 Stacey E. Brown Nurse Practitioner 207 N. Schuyler Ave., Kankakee, IL 60901 2017-02-15
1417352105 Provider Healthcare Services, Inc Home Health 555 South Schuyler, Suite 275, Kankakee, IL 60901 2014-10-24
1265850655 Ronald George Testa Dentist 202 N. Schuyler Ave, Kankakee, IL 60901 2014-04-02
1245587898 Mary Beth Wertz Registered Nurse 100 N Jeffery Street, Kankakee, IL 60901 2012-08-13
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Taxonomy Information

Taxonomy Code 364SC0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316153984 Constance A Wright Clinical Nurse Specialist 5758 South Maryland, Chicago, IL 60637 2007-05-14
1215076153 Elizabeth (beth) T Zimmermann Clinical Nurse Specialist 5839 So. Maryland Ave., Mc4062-ucch, Chicago, IL 60637 2007-02-06
1205332509 Irene Copak Clinical Nurse Specialist 4440 W 95th St, Oak Lawn, IL 60453-2600 2018-04-04
1831623636 Sheri Moonan Clinical Nurse Specialist 4440 W 95th St, 6324p- Lung Transplant Office, Oak Lawn, IL 60453-2600 2017-04-18
1104272079 Candice White Clinical Nurse Specialist 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2016-05-10
1982029856 Jennifer Casey Clinical Nurse Specialist 1120 N Melvin St, Gibson City, IL 60936-1477 2014-02-28
1336578582 Pamela Heydorn Clinical Nurse Specialist 133 E Brush Hill Rd, Ste. 202, Elmhurst, IL 60126-5659 2013-11-08
1073956777 Leslie Ann Collins Clinical Nurse Specialist 800 W Central Rd, Arlington Heights, IL 60005-2349 2013-04-11
1841539616 Darla Jo Bradle Clinical Nurse Specialist 2222 E State St, Suite 209, Rockford, IL 61104-1573 2013-02-13
1306183173 Ann L Miller Clinical Nurse Specialist 12251 S 80th Ave, Palos Heights, IL 60463-1256 2013-01-13
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Competitor

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City KANKAKEE
Zip Code 60901

Improve Information

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Dataset Information

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.

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