SUZANNE BERGEN (NPI# 1336287093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336287093 |
| Entity Type | Individual |
| Full Name | SUZANNE BERGEN |
| Credential | MD |
| Practice Address |
2040 Ogden Ave Suite 107 Aurora IL 60504-7206 |
| Mailing Address |
1256 Waterford Drive Suite 230 Aurora IL 60504 |
| Practice Telephone | 6306925700 |
| Practice Fax Number | 6306925750 |
| Mailing Telephone | 6304992404 |
| Mailing Fax Number | 6304992399 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2017-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
036077003 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036-077003 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982826343 | Suzanne Ellen Bergen | Counselor | 401 Wisconsin Ave, Madison, WI 53703-1487 | 2007-05-03 |
| Street Address |
2040 OGDEN AVE SUITE 107 |
| City | AURORA |
| State | IL |
| Zip Code | 60504-7206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851387328 | Teressa Alexander | Obstetrics & Gynecology | 2040 Ogden Ave, Suite 201, Aurora, IL 60504-7222 | 2005-09-21 |
| 1386156917 | Kelly Ryan | Nurse Practitioner | 2040 Ogden Ave, Aurora, IL 60504-7206 | 2017-11-05 |
| 1780058776 | Dreyer Clinic, Inc | Clinic/Center | 2040 Ogden Ave, Suite 401, Aurora, IL 60504-7206 | 2015-11-14 |
| 1942696224 | Rebecca Wilson | Nurse Practitioner | 2040 Ogden Ave, Suite 215, Aurora, IL 60504-7206 | 2015-04-13 |
| 1982974689 | Rush-copley Medical Group | Pediatrics | 2040 Ogden Ave, Suite 215, Aurora, IL 60504-7206 | 2012-01-11 |
| 1366729378 | Megan Nellie Muscia | Pediatrics | 2040 Ogden Ave, Suite 215, Aurora, IL 60504-7206 | 2011-11-04 |
| 1639455173 | Rush-copley Medical Group Nfp | Family Medicine | 2040 Ogden Ave, Suite 303, Aurora, IL 60504-7206 | 2011-10-28 |
| 1730474198 | Lauren Franker | Nurse Practitioner | 2040 Ogden Ave, Suite 300, Aurora, IL 60504-7206 | 2011-06-14 |
| 1669767174 | Colleen Elizabeth Skay | Obstetrics & Gynecology | 2040 Ogden Ave, Suite 401, Aurora, IL 60504-7206 | 2011-06-13 |
| 1700118874 | Melissa M New | Nurse Practitioner | 2040 Ogden Ave, Suite 401, Aurora, IL 60504-7206 | 2010-02-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631039 | Kamala Lakshmipathy | Physical Therapist | 2021 Randi Drive, Aurora, IL 60504 | 2017-10-31 |
| 1891211710 | Kenneth Vicencio | Clinical Neuropsychologist | 4100 Healthway Drive, Aurora, IL 60504 | 2017-08-22 |
| 1316499023 | Wilcox and Wilcox, Inc | Home Health | 75 Executive Drive, Suite 301, Aurora, IL 60504 | 2016-10-28 |
| 1518315241 | Kinsley Jin | Family Medicine | Rush-copley Family Medicine Center 2020 Ogden Avenue, Suite 330, Aurora, IL 60504 | 2016-06-03 |
| 1609224211 | Empower Health Services, LLC | Clinic/Center | 4205 Westbrook Dr, Aurora, IL 60504 | 2016-05-25 |
| 1275907883 | Lolita Lajoyce Norris | Private Vehicle | 235 Kirkland Ln, Aurora, IL 60504 | 2015-11-19 |
| 1972917557 | Elizabeth Sledge | Occupational Therapist | 1000 Celebration Dr, Aurora, IL 60504 | 2014-06-11 |
| 1962840330 | Sparc Chiropractic, P.C. | Chiropractor | 800-2 Frontenac Road, #2, Aurora, IL 60504 | 2013-06-07 |
| 1932451952 | Illinois Health Resources Inc | Physical Therapist | 1240 S Commons Dr, Aurora, IL 60504 | 2012-10-15 |
| 1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
| Find all providers in zip 60504 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265896336 | Brooke Sanders | Obstetrics & Gynecology | 1635 Aurora Ct Fl 3, Aurora, CO 80045-2541 | 2016-04-05 |
| 1568874899 | Brandon Thomas Sawyer | Obstetrics & Gynecology | 12605 E 16th Ave, Aurora, CO 80045 | 2014-05-21 |
| 1558653451 | Jill Alldredge | Obstetrics & Gynecology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2011-05-10 |
| 1508953654 | Susan Davidson | Obstetrics & Gynecology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2006-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174910657 | Allison Margaret Saiz | Obstetrics & Gynecology | 250 E Superior St Ste 5-2175, Chicago, IL 60611-2914 | 2015-04-22 |
| 1053677005 | Carrie Allison Mcilwain | Obstetrics & Gynecology | 6700 W 95th St Ste 330, Oak Lawn, IL 60453-2416 | 2012-04-04 |
| 1891094546 | Joseph P Bonanno | Obstetrics & Gynecology | 1010 Dixie Hwy Ste 313, Chicago Heights, IL 60411-2666 | 2011-03-21 |
| 1841457975 | Assaad Youssef Semaan | Obstetrics & Gynecology | 800 Biesterfield Rd Ste 302, Elk Grove Village, IL 60007-3378 | 2008-05-16 |
| 1598975336 | Nikki Lynn Neubauer | Obstetrics & Gynecology | 6700 West 95th Street, Suite 330, Oak Lawn, IL 60453-2199 | 2007-05-23 |
| 1124126040 | Arthur Herbst | Obstetrics & Gynecology | 5841 South Maryland Mc 2050, Chicago, IL 60657 | 2006-09-21 |
| 1922037787 | Michael Patrick Lowe | Obstetrics & Gynecology | 6700 W 95th St, Suite 330, Oak Lawn, IL 60453-2199 | 2006-07-02 |
| 1134197833 | Kennth Alan Hodel | Obstetrics & Gynecology | 6915 N Knoxville Ave, Suite 1, Peoria, IL 61614-2851 | 2006-03-09 |
| 1649242736 | Addie Alkhas | Obstetrics & Gynecology | 1875 Dempster St Ste 210, Park Ridge, IL 60068-1126 | 2006-02-03 |
| 1003806514 | Ronald E Kimball | Obstetrics & Gynecology | 509 W University Ave, Urbana, IL 61801-1645 | 2005-10-26 |
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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.