SUSAN CHACKO


Address: 930 Elk Grove Town Ctr, Elk Grove Village, Elk Grove Village, IL 60007-3754
Phone: 8559254733

SUSAN CHACKO (NPI# 1568701704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568701704
Entity Type Individual
Full Name SUSAN CHACKO
Credential APN
Practice Address 930 Elk Grove Town Ctr
Elk Grove Village
Elk Grove Village
IL 60007-3754
Mailing Address 1901 E Voorhees St
Danville
Danville
IL 61834-4509
Practice Telephone 8559254733
Mailing Telephone 2177092204
Enumeration Date 2013-02-07
Last Update Date 2013-02-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
209009623 IL Physician Assistants & Advanced Practice Nursing Providers

Other Providers SUSAN CHACKO

NPI Name Taxonomy Address Enumeration
1962928895 Susan Chacko Counselor 12000 N Virginia Avenue, Oklahoma City, OK 73120 2017-08-22
1790738227 Susan Chacko Physical Therapist 1 Hannah Ln, Valley Cottage, NY 10989-1308 2006-05-18
1780607432 Susan Chacko Physical Therapist 36475 5 Mile Rd, Livonia, MI 48154-1971 2006-07-25

Office Location

Street Address 930 ELK GROVE TOWN CTR
ELK GROVE VILLAGE
City ELK GROVE VILLAGE
State IL
Zip Code 60007-3754

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972518009 Walgreen Co Durable Medical Equipment & Medical Supplies 930 Elk Grove Town Ctr, Elk Grove Village, IL 60007-3754 2006-07-29
1114531266 Eric Yi Pharmacist 930 Elk Grove Town Ctr, Elk Grove Village, IL 60007-3754 2020-09-06
1073125878 Vaidehi V Patel Pharmacist 930 Elk Grove Town Ctr, Elk Grove Village, IL 60007-3754 2020-08-21
1700431269 Megha Bipinkumar Patel Pharmacist 930 Elk Grove Town Ctr, Elk Grove Village, IL 60007-3754 2019-08-01
1205101003 Senka Hadzic Nurse Practitioner 930 Elk Grove Town Ctr, Elk Grove Village, IL 60007-3754 2012-03-13
1982986691 Patrick T Connolly Pharmacist 930 Elk Grove Town Ctr, Elk Grove Village, IL 60007-3754 2011-09-20
1932481090 Yen Lee Pharmacist 930 Elk Grove Town Ctr, Elk Grove Village, IL 60007-3754 2011-09-15
1265714398 Nima Patel Pharmacist 930 Elk Grove Town Ctr, Elk Grove Village, IL 60007-3754 2011-09-14
1912287574 Krista Lee Pharmacist 930 Elk Grove Town Ctr, Elk Grove Village, IL 60007-3754 2011-08-26
1114181575 Denise Brents Nurse Practitioner 930 Elk Grove Town Ctr, Elk Grove Village, IL 60007-3754 2008-07-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518593706 Anthony Ray Zwaga Social Worker 1001 Il-53 N, Elk Grove Village, IL 60007 2020-03-19
1104471333 Highway Dental Inc Dentist 1055 Rohlwing Road, Elk Grove Village, IL 60007 2019-08-05
1699335984 Orsini Pharmaceutical Services, LLC Pharmacy 1107 Nicholas Boulevard, Elk Grove Village, IL 60007 2019-06-18
1700371457 Kandy Sandhu Specialist/Technologist, Other 910 Biesterfield Rd, Suite 105, Elk Grove Village, IL 60007 2018-06-26
1447761085 Trevor W Avella Physician Assistant 800 Biesterfield Rd Ste 101, Elk Grove Village, IL 60007 2017-10-23
1649792573 Paige Wesa Speech-Language Pathologist 936 Victoria Ln, Elk Grove Village, IL 60007 2017-07-12
1093242414 Assist Illinois Senior Care Services, Inc. In Home Supportive Care 1052 Florida Lane, Elk Grove Village, IL 60007 2017-05-16
1598205098 Azadeh Bassij Counselor 1001 Rohwing Rd., Kenneth Young Center, Elk Grove Village, IL 60007 2017-03-02
1700245438 Roma H Venkatesan Nurse Practitioner 800 Biesterfield Road Cancer Institute, Suite 120, Elk Grove Village, IL 60007 2016-02-23
1295114825 Shelagh Robyn Nikkel Massage Therapist 901 Biesterfield Rd. Suite 211, Maria A. Castellese D.c., P.C., Elk Grove Village, IL 60007 2015-05-28
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366059446 Amber Schwarzinger Nurse Practitioner 800 Biesterfield Rd Ste 4011, Elk Grove Village, IL 60007-3372 2020-09-23
1205440948 Jenice Lopez Nurse Practitioner 1112 Elmwood Ln, Elk Grove Village, IL 60007-4561 2020-09-01
1942771415 Sun Park Nurse Practitioner 1847 Hawk Ln, Elk Grove Village, IL 60007-6906 2018-12-10
1306328406 Dorothy Ann Mccarron Nurse Practitioner 800 Biesterfield Rd Dept of Palliative Care, Elk Grove Village, IL 60007-3361 2018-09-05
1881171296 Tina Francine Oraham Nurse Practitioner 955 Beisner Rd # 1509, Elk Grove Village, IL 60007-3475 2018-07-27
1770096489 Shiji Benny Nurse Practitioner 800 Biesterfield Rd Ste 3007, Elk Grove Village, IL 60007-3371 2017-11-16
1083166409 Lori Tomaszewski Nurse Practitioner 800 Biesterfield Rd Ste 705a, Elk Grove Village, IL 60007-3361 2016-11-02
1700245438 Roma H Venkatesan Nurse Practitioner 800 Biesterfield Road Cancer Institute, Suite 120, Elk Grove Village, IL 60007 2016-02-23
1154749620 Jennifer Trsar Nurse Practitioner 1901 Albany Ct, Elk Grove Village, IL 60007-2782 2014-04-02
1669716452 Renee P Spacapan Nurse Practitioner 901 Biesterfield Rd Ste 402, Elk Grove Village, IL 60007-7331 2012-11-16
Find all providers in ELK GROVE VILLAGE

Competitor

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City ELK GROVE VILLAGE
Zip Code 60007

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Dataset Information

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.

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