SUSAN MARIE BERG (NPI# 1457473936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457473936 |
Entity Type | Individual |
Full Name | SUSAN MARIE BERG |
Other Name | SUSAN MARIE STEFFENS |
Credential | B.S.,R.PH. |
Practice Address |
2300 N Childrens Plz Children's Memorial Hospital Chicago IL 60614-3363 |
Mailing Address |
1133 W Albion Ave Chicago IL 60626-4613 |
Practice Telephone | 7738804566 |
Practice Fax Number | 7738804295 |
Mailing Telephone | 7737430435 |
Enumeration Date | 2007-04-04 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | IL | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548746308 | Susan Marie Berg | Physician Assistant | 1411 Mn-79, Elbow Lake, MN 56531 | 2018-07-16 |
1871001149 | Susan Ruth Berg | Occupational Therapist | 3223 Lemmon Ave Apt 4129, Dallas, TX 75204-1855 | 2018-01-19 |
1851636161 | Susan Berg | Counselor | 662 N New Ballas Rd, Creve Coeur, MO 63141-6737 | 2012-11-28 |
1053449371 | Susan H. Berg | Social Worker | 105 Whittier Pl, Port Jefferson, NY 11777-1619 | 2007-02-28 |
1205924743 | Susan R. Berg | Marriage & Family Therapist | 315 E Cotati Ave Ste G, Cotati, CA 94931-7801 | 2006-10-10 |
1043219736 | Susan Berg | Family Medicine | 311 W. Fairchild, Danville, IL 61832-3876 | 2005-07-15 |
1972506202 | Susan E. Berg | Clinical Nurse Specialist | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2005-05-31 |
1164084778 | Susan Z Berg | Genetic Counselor, MS | One Medical Center Drive, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756 | 2019-07-03 |
1730201963 | Susan E Berg | Speech-Language Pathologist | 2565 Elmwood Ave, Kenmore, NY 14217-1939 | 2007-04-06 |
1639210412 | Susan L. Berg | Nurse Practitioner | 1229 E Seminole St, Springfield, MO 65804-2227 | 2007-02-12 |
Street Address |
2300 N CHILDRENS PLZ CHILDREN'S MEMORIAL HOSPITAL |
City | CHICAGO |
State | IL |
Zip Code | 60614-3363 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700880077 | Mari G Leahy | Pharmacist | 2300 N Childrens Plz, Chicago, IL 60614-3363 | 2005-06-02 |
1265707616 | Melanie Rae Berube | Social Worker | 2300 N Childrens Plz, Box 10, Chicago, IL 60614-3363 | 2012-03-19 |
1326310673 | Dana Marie Koehn | Specialist/Technologist | 2300 N Childrens Plz, Chicago, IL 60614-3363 | 2012-02-02 |
1255603908 | Peter Andrew Wagreich | Speech-Language Pathologist | 2300 N Childrens Plz, Box 142, Chicago, IL 60614-3363 | 2012-01-27 |
1467722090 | Laura Catherine Doyle | Nurse Practitioner | 2300 N Childrens Plz, #37, Chicago, IL 60614-3363 | 2012-01-12 |
1174890362 | Julie Farrell | Nurse Practitioner | 2300 N Childrens Plz, Emergency Department, Chicago, IL 60614-3363 | 2011-11-16 |
1508147935 | Heather A. Bryant | Pharmacist | 2300 N Childrens Plz, Suite J119, Walgreens, Chicago, IL 60614-3363 | 2011-08-30 |
1811278278 | Roopal Marlow | Pharmacist | 2300 N Childrens Plz, Suite J119, Chicago, IL 60614-3363 | 2011-08-30 |
1548548357 | Jenelle Helene Ezcurra | Audiologist | 2300 N Childrens Plz, Chicago, IL 60614-3363 | 2011-07-27 |
1700175809 | Rebecca Jeanne Vana | Student in an Organized Health Care Education/Training Program | 2300 N Childrens Plz, Chicago, IL 60614-3363 | 2011-03-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
Find all providers in zip 60614 |
Taxonomy Code | 183500000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760083414 | Cedomir Micic | Pharmacist | 1111 W 14th Pl Unit 126, Chicago, IL 60608-2796 | 2020-11-07 |
1003416439 | Denise Venketramen | Pharmacist | 939 W Madison St Apt 310, Chicago, IL 60607-2656 | 2020-10-26 |
1427657063 | Sundis I Islefo | Pharmacist | 2647 W Rascher Ave Apt 2w, Chicago, IL 60625-3106 | 2020-10-24 |
1497353361 | Eleanor English | Pharmacist | 910 W Huron St Unit 1209, Chicago, IL 60642-5968 | 2020-10-13 |
1942808001 | Iris Esmeralda Gutierrez | Pharmacist | 3343 S Leavitt St, Chicago, IL 60608-6018 | 2020-10-12 |
1417564790 | Tara Airola | Pharmacist | 857 N Marshfield Ave Unit 1, Chicago, IL 60622-5132 | 2020-09-30 |
1174137129 | Tangtang Zhao | Pharmacist | 9148 S Commercial Ave, Chicago, IL 60617-4307 | 2020-09-06 |
1710591334 | Karolina Maculewicz | Pharmacist | 371 W Ontario St, Chicago, IL 60654-5716 | 2020-09-01 |
1700490448 | Anita Saini | Pharmacist | 5140 N California Ave, Chicago, Il 60625, Chicago, IL 60625 | 2020-09-01 |
1245844026 | Rachel Klepacz | Pharmacist | 101 N Clinton St, Chicago, IL 60661-1505 | 2020-08-31 |
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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.