SUSAN BARCLAY (NPI# 1144206145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144206145 |
| Entity Type | Individual |
| Full Name | SUSAN BARCLAY |
| Credential | MD |
| Practice Address |
3753 S Cottage Grove Ave Chicago IL 60653-1407 |
| Practice Telephone | 7734510460 |
| Practice Fax Number | 7734510461 |
| Mailing Telephone | 7734510460 |
| Mailing Fax Number | 7734510461 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2018-04-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036090785 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS OF IL | 01621679 | 01 |
| Street Address |
3753 S COTTAGE GROVE AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60653-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649650045 | Yan Duan | Internal Medicine | 3753 S Cottage Grove Ave, Chicago, IL 60653-1407 | 2015-06-02 |
| 1063846335 | Chaunta Nicole Willis | Pharmacy Technician | 3753 S Cottage Grove Ave, Chicago, IL 60653-1407 | 2013-08-22 |
| 1447506597 | Rizwana Syed | Internal Medicine | 3753 S Cottage Grove Ave, Chicago, IL 60653-1407 | 2012-07-26 |
| 1134425085 | Nasser A Boshra | Internal Medicine | 3753 S Cottage Grove Ave, Chicago, IL 60653-1407 | 2011-02-09 |
| 1922317528 | Maja Delibasic | Internal Medicine | 3753 S Cottage Grove Ave, Chicago, IL 60653-1407 | 2010-09-29 |
| 1760707947 | Kids Above All | Clinic/Center | 3753 S Cottage Grove Ave, 2nd Floor, Chicago, IL 60653-1407 | 2010-03-31 |
| 1881918134 | Abigail Monsalud Morrow | Nurse Practitioner | 3753 S Cottage Grove Ave, Chicago, IL 60653-1407 | 2010-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215804 | Pamela Ann Brazelton-sykes | Counselor | Pioneer Gardens Supportive Living, 3800 S King Dr, Chicago, IL 60653 | 2020-04-30 |
| 1962915439 | Pickup Transport Lllp | Non-emergency Medical Transport (VAN) | 4418 S. Oakenwald Ave, Chicago, IL 60653 | 2017-11-07 |
| 1245758309 | Qi Wellness LLC | Case Management | 525 E 46th Place, Chicago, IL 60653 | 2017-09-08 |
| 1598202897 | Fadesire O Ajuwon | Registered Nurse | 4218 S King Dr, 1n, Chicago, IL 60653 | 2017-01-24 |
| 1013464619 | Roundys Supermarkets Inc | Pharmacy | 3857 S Dr Martin Luther King Jr Dr, Chicago, IL 60653 | 2016-09-01 |
| 1417384793 | Griffin Orthodontics PC | Dentist | 1040 E 47th Street, Chicago, IL 60653 | 2013-10-02 |
| 1114350659 | Carita Dale Johnson | Pharmacist | 3753 S. Cottage Grove Ave, 104, Chicago, IL 60653 | 2013-08-20 |
| 1245677848 | Mercy Diagnostic and Treatment Center | Clinic/Center | 3755 S Cottage Grove, Chicago, IL 60653 | 2013-05-23 |
| 1952745937 | Mercy Community Pharmacy At Oakwood Shores | Pharmacy | 3753 S. Cottage Grove, Chicago, IL 60653 | 2013-04-22 |
| 1386952315 | Jami S Little | Developmental Therapist | 617 East 41st, Chicago, IL 60653 | 2010-09-24 |
| Find all providers in zip 60653 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1487277596 | Kali Ann Kramolis | Pediatrics | 5841 S Maryland Ave Rm K155, Chicago, IL 60637-1443 | 2020-05-22 |
| 1386272086 | Jane Bialek | Pediatrics | 5841 S Maryland Ave # Mc1502, Chicago, IL 60637-1443 | 2020-03-29 |
| 1164068730 | Alexis Gasiorowski | Pediatrics | 737 N Michigan Ave Ste 870, Chicago, IL 60611-2615 | 2019-11-19 |
| 1265077424 | Vanessa Harvey | Pediatrics | 1620 W Harrison St # 7k, Chicago, IL 60612-3801 | 2019-11-12 |
| 1811458136 | Audrey Zeis | Pediatrics | 5841 S Maryland Ave # Mc8061, Chicago, IL 60637-1443 | 2019-03-28 |
| 1801357470 | Roohie Kaur Poonia | Pediatrics | 5721 S Maryland Ave Unit 1200, Chicago, IL 60637-1425 | 2019-03-27 |
| 1649762931 | Michael Zev Nevid | Pediatrics | Rush Pediatric Care Group, 1645 W. Jackson Blvd, Chicago, IL 60612-3276 | 2018-06-01 |
| 1649787342 | Yi Shao | Pediatrics | 5841 S Maryland Ave # 8016, Chicago, IL 60637-1443 | 2018-01-03 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on SUSAN BARCLAY.
| 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.