MRS. SUZANNE MICHELLE TEAL (NPI# 1255304945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255304945 |
| Entity Type | Individual |
| Full Name | MRS. SUZANNE MICHELLE TEAL |
| Credential | NURSE PRACTITIONER |
| Practice Address |
2050 Larkin Ave Elgin IL 60123-4405 |
| Mailing Address |
Po Box 447 Round Lake IL 60073-0447 |
| Practice Telephone | 6305331019 |
| Mailing Telephone | 6305331019 |
| Enumeration Date | 2006-02-11 |
| Last Update Date | 2008-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
209005084 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2050 LARKIN AVE |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-4405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598758047 | Roop Rekha Shivpuri | Specialist | 2050 Larkin Ave, Elgin, IL 60123-5888 | 2005-08-30 |
| 1336639632 | Kerry Voss | Social Worker | 2050 Larkin Ave, Elgin, IL 60123-4405 | 2018-05-14 |
| 1841620762 | All Kids Dental Center, LLC | Dentist | 2050 Larkin Ave, Ste. #100, Elgin, IL 60123-4405 | 2013-11-13 |
| 1588002729 | Nicole M Hensen | Counselor | 2050 Larkin Ave, Suite #202, Elgin, IL 60123-4405 | 2013-06-10 |
| 1023351376 | William Bautista | Social Worker | 2050 Larkin Ave, Suite #202, Elgin, IL 60123-4405 | 2013-04-04 |
| 1285971424 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 2050 Larkin Ave, Elgin, IL 60123-4405 | 2013-01-08 |
| 1265717276 | Pediatric and Family Dental PC | Dentist | 2050 Larkin Ave, Suite 100, Elgin, IL 60123-4405 | 2011-10-21 |
| 1235433012 | Scott D. Goldman, Dds, PC | Dentist | 2050 Larkin Ave, Suite 100, Elgin, IL 60123-4405 | 2011-01-07 |
| 1508096108 | Patricia J Zacharias | Counselor | 2050 Larkin Ave, Suite 202, Elgin, IL 60123-4405 | 2009-07-17 |
| 1700064425 | Effie Crambes | Social Worker | 2050 Larkin Ave, Suite 202, Elgin, IL 60123-4405 | 2008-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699195891 | Lauren Duffy | Nurse Practitioner | 1015 Summit St, Elgin, IL 60120-4362 | 2014-04-26 |
| 1619265659 | Kristen C. Gonzaga | Nurse Practitioner | 373 Summit St, Elgin, IL 60120-3733 | 2011-07-12 |
| 1891095923 | Jennifer K Davis | Nurse Practitioner | 1015 Summit St, Elgin, IL 60120-4362 | 2010-10-22 |
| 1558410159 | Linda M Kalsow | Nurse Practitioner | 1015 Summit St, Elgin, IL 60120-4362 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881291 | Sarah Zeigler Olsen | Nurse Practitioner | 600 S Randall Rd Ste 220, Algonquin, IL 60102-5937 | 2020-11-02 |
| 1467051151 | Mallory Jo Brooks | Nurse Practitioner | 2306 E County Road 1800 N, Carthage, IL 62321-3101 | 2020-10-22 |
| 1508475294 | Diedra M Ahlert | Nurse Practitioner | 1320 Lexington Dr, Collinsville, IL 62234-4348 | 2020-07-28 |
| 1679182802 | Danielle L Shubert | Nurse Practitioner | 9423 Holy Cross Ln Ste 111, Breese, IL 62230-3510 | 2020-07-23 |
| 1154962900 | Janna Hoppe | Nurse Practitioner | 24600 W 127th St Ste 345, Plainfield, IL 60585-9507 | 2019-10-02 |
| 1841858529 | Katherine R Conkling | Nurse Practitioner | 4941 Benchmark Centre Dr Ste 100, Swansea, IL 62226-2038 | 2019-05-29 |
| 1942767280 | Danielle R Wetzel | Nurse Practitioner | 2040 Ogden Ave Ste 215, Aurora, IL 60504-7205 | 2019-02-22 |
| 1669937231 | Colleen Ann Larkin | Nurse Practitioner | 10939 S Troy St, Chicago, IL 60655-2211 | 2019-02-07 |
| 1568939684 | Katelyn Marie Reed | Nurse Practitioner | 415 N 9th St Ste 4w64, Springfield, IL 62702-5303 | 2018-10-26 |
| 1255813218 | Michelle Christine Bollinger | Nurse Practitioner | 415 N 9th St Ste 4w16, Springfield, IL 62702-5303 | 2018-09-05 |
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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.