DR. SUSAN M NADIS (NPI# 1396730370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396730370 |
| Entity Type | Individual |
| Full Name | DR. SUSAN M NADIS |
| Credential | M.D. |
| Practice Address |
3340 Oak Park Ave Suite 200 Berwyn IL 60402-3420 |
| Practice Telephone | 7087830222 |
| Practice Fax Number | 7087830223 |
| Mailing Telephone | 7087830222 |
| Mailing Fax Number | 7087830223 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2007-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
3340 OAK PARK AVE SUITE 200 |
| City | BERWYN |
| State | IL |
| Zip Code | 60402-3420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508862368 | Allen Jerome Rosenbaum | Internal Medicine | 3340 Oak Park Ave, Ste 304, Berwyn, IL 60402-3483 | 2005-06-24 |
| 1215251269 | Comprehensive Pain Solutions | Clinic/Center | 3340 Oak Park Ave, 314, Berwyn, IL 60402-3420 | 2010-03-19 |
| 1366626996 | Suburban Urology Associates,ltd | Specialist | 3340 Oak Park Ave, Suite 305, Berwyn, IL 60402-3420 | 2007-12-18 |
| 1821204082 | Suburban Otolaryngology,s.c. | Specialist | 3340 Oak Park Ave, Berwyn, IL 60402-3420 | 2007-05-15 |
| 1114087962 | Peter Misurec | Urology | 3340 Oak Park Ave, Suite 305, Berwyn, IL 60402-3420 | 2006-12-11 |
| 1821187923 | Larry L Bailey | Otolaryngology | 3340 Oak Park Ave, Berwyn, IL 60402-3420 | 2006-10-12 |
| 1588753693 | Daniel M Kurtzman | Otolaryngology | 3340 Oak Park Ave, Berwyn, IL 60402-3420 | 2006-10-12 |
| 1316044233 | Damayanti S Hathiwala | Pediatrics | 3340 Oak Park Ave, Suite 201, Berwyn, IL 60402-3420 | 2006-09-20 |
| 1821196643 | Anthony Joseph Guido | Dentist | 3340 Oak Park Ave, Suite 308, Berwyn, IL 60402-3420 | 2006-09-20 |
| 1376563742 | Jennifer Renee Glover | Surgery | 3340 Oak Park Ave, 309, Berwyn, IL 60402-3420 | 2006-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586518 | Lisa K Anderson-shaw | Clinical Ethicist | Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 | 2020-07-27 |
| 1922622380 | Ayesha Ikram | Internal Medicine | Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 | 2020-06-02 |
| 1598329146 | Eleanor Teoh | Student in an Organized Health Care Education/Training Program | Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 | 2019-04-30 |
| 1376013920 | Virginia Mireles | Behavior Technician | 2317 S. Home, Berwyn, IL 60402 | 2018-11-27 |
| 1245709047 | Saraswati Koirala | Dentist | 1227 S Harlem Ave Apt414, Berwyn, IL 60402 | 2018-11-21 |
| 1295204220 | Dental Town Ltd | Dentist | 7106 W Cermak Rd, Berwyn, IL 60402 | 2018-11-20 |
| 1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
| 1437655685 | Ana Luisa Desantiago | Social Worker | 3245 Grove Ave Ste 201, Berwyn, IL 60402 | 2018-04-04 |
| 1821520198 | Chetan Velagapudi | Student in an Organized Health Care Education/Training Program | 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 | 2017-03-28 |
| 1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
| Find all providers in zip 60402 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538310198 | Lauren Cordes Flynn | Psychiatry & Neurology | 1001 Chesterbrook Blvd, 3rd Floor East, Berwyn, PA 19312-3805 | 2008-10-01 |
| 1336177096 | Roderick Spears | Psychiatry & Neurology | 1001 Chesterbrook Blvd, Berwyn, PA 19312-3805 | 2006-06-29 |
| 1992731491 | Neurologic Care Associates, P.C. | Psychiatry & Neurology | 3340 Oak Park Ave, Suite 200, Berwyn, IL 60402-3420 | 2006-06-25 |
| 1144215229 | Timothy K Mcgonagle | Psychiatry & Neurology | 3340 Oak Park Ave, Suite 200, Berwyn, IL 60402-3420 | 2005-09-15 |
| 1144215120 | Susan J Sicotte | Psychiatry & Neurology | 3340 Oak Park Ave, Suite 200, Berwyn, IL 60402-3420 | 2005-09-15 |
| 1033104021 | Walter J Wojcik | Psychiatry & Neurology | 3340 Oak Park Ave, Suite 200, Berwyn, IL 60402-3420 | 2005-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714294 | Kaitlin E Keenan | Psychiatry & Neurology | 600 S Paulina St Ste 403aac, Chicago, IL 60612-3806 | 2020-06-11 |
| 1811546484 | Glencor Neuromonitoring LLC | Psychiatry & Neurology | 611 S Milwaukee Ave Ste 8, Libertyville, IL 60048-3256 | 2019-09-06 |
| 1750941639 | Ammar Tarabichi | Psychiatry & Neurology | 751 N Rutledge, Springfield, Il, Springfield, IL 62794 | 2019-06-13 |
| 1972167906 | Kazkaz Southwest Neurology S.c. | Psychiatry & Neurology | 1890 Silver Cross Blvd Ste 320, New Lenox, IL 60451-9610 | 2019-04-25 |
| 1285195594 | Niccolo Emanuele Mencacci | Psychiatry & Neurology | 303 E Chicago Ave # 12-226, Chicago, IL 60611-4296 | 2019-03-28 |
| 1497216865 | Juan Pablo Ospina Botero | Psychiatry & Neurology | 5841 S Maryland Ave # 2030s231, Chicago, IL 60637-1443 | 2019-03-28 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1124526272 | Neurology Clinic of Chicago, LLC | Psychiatry & Neurology | 4909 W Division St Ste 302, Chicago, IL 60651-3161 | 2018-01-23 |
| 1538514120 | Kathleen Mary Gorman | Psychiatry & Neurology | 225 E Chicago Avenue, Chicago, IL 60611 | 2016-05-02 |
| 1396190203 | Lauren Brandes | Psychiatry & Neurology | 1725 W Harrison St Ste 309, Chicago, IL 60612-3844 | 2016-04-28 |
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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.