MRS. D SUZANNE MCCLURE (NPI# 1225250558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225250558 |
| Entity Type | Individual |
| Full Name | MRS. D SUZANNE MCCLURE |
| Practice Address |
903 South First Street Apartment 122 Champaign IL 61820-6086 |
| Mailing Address |
1 Pine Lane Beardstown IL 62618-8019 |
| Practice Telephone | 2178360122 |
| Mailing Telephone | 2173233442 |
| Mailing Fax Number | 2173235522 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
903 SOUTH FIRST STREET APARTMENT 122 |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61820-6086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1255963583 | Jamey Richard Bailey | Social Worker | 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 | 2020-02-05 |
| 1790247443 | Jason Abrams | Counselor | 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 | 2019-04-02 |
| 1184100273 | Janine Rafferty | Pharmacist | 2002 N Neil St, Champaign, IL 61820 | 2018-07-12 |
| 1417475070 | Brodbeck Counseling, PC | Community/Behavioral Health | 301 N. Neil Street Suite 323, Champaign, IL 61820 | 2017-09-05 |
| 1447773726 | Quanata M Pelmore | Nurse's Aide | 508 E. Vine St, Champaign, IL 61820 | 2017-07-19 |
| 1821518127 | Molly Mclay | Social Worker | 309 W Clark St., Champaign, IL 61820 | 2017-06-27 |
| 1396265849 | Lou Echols Chambers | Audiologist | 901 South Sixth Street, Chamapign, IL 61820 | 2017-06-26 |
| 1962874495 | Luciana Angelica Guardini | Social Worker | 100 North Chestnut Street, Suite 244, Champaign, IL 61820 | 2015-10-23 |
| 1538544465 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 410 E University Ave Ste 105, Champaign, IL 61820 | 2015-07-21 |
| Find all providers in zip 61820 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618339 | Rockin The Spectrum | Technician | 425 Lake St, Antioch, IL 60002-1464 | 2020-08-01 |
| 1902447204 | Reilly Crofton | Technician | 210 W Hughes St, Franklin Grove, IL 61031-9450 | 2019-10-08 |
| 1124669825 | Logan Kozi | Technician | 1951 Ramada Blvd Apt 7, Collinsville, IL 62234-6214 | 2019-10-03 |
| 1174172605 | Phyllis Cunningham | Technician | 603 2nd Ave C, Silvis, IL 61282 | 2019-09-07 |
| 1417456450 | Latoya Denise Davis | Technician | 8739 S Racine Ave, Chicago, IL 60620-3479 | 2018-02-05 |
| 1841749694 | Janet Lee | Technician | 209 Circle Dr, Herrin, IL 62948-4303 | 2016-09-21 |
| 1700118643 | Alberto Quiroz | Technician | 2100 S 58th Ave, Cicero, IL 60804-2115 | 2010-02-03 |
| 1104049691 | Sandra Lea Henderson | Technician | 205 N Wisconsin Avenue, Villa Park, IL 60181-2034 | 2007-04-11 |
| 1164567962 | Rose Ann Schneider | Technician | 603 N Prospect St, 114, Cambridge, IL 61238-1049 | 2007-02-20 |
| 1710919279 | Darlito Alava Ordonez | Technician | 9136b Waukegan Rd, Morton Grove, IL 60053-2119 | 2006-07-07 |
| Find all providers with the same taxonomy | ||||
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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.