MRS. SUSAN M DAVIS (NPI# 1609145234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609145234 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN M DAVIS |
| Credential | ND, FNP-BC |
| Practice Address |
755 E Boughton Rd Bolingbrook IL 60440-2250 |
| Mailing Address |
755 E. Boughton Rd Bolingbrook IL 60440 |
| Practice Telephone | 6307832207 |
| Mailing Telephone | 6307832207 |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2011-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209004410 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831742196 | Susan Ann Davis | Community/Behavioral Health | 362 Patton Ave, Cheyenne, WY 82007-1183 | 2019-07-16 |
| 1629639349 | Susan E Davis | Dentist | 707 Us Highway 24 N, Buena Vista, CO 81211-9863 | 2019-06-24 |
| 1639739980 | Susan Jean Davis | Psychiatry & Neurology | 4817 Medical Center Dr # 3a, Mckinney, TX 75069-1886 | 2019-06-18 |
| 1932768348 | Susan Rae Davis | Nurse Practitioner | 3800 S Ocean Dr Suite 209, Hollywood, FL 33019-6614 | 2019-06-10 |
| 1437692274 | Susan Meghan Davis | Registered Nurse | 925 Keynote Circle Suite #300, Brooklyn Hts, OH 44131 | 2016-11-28 |
| 1568826493 | Susan Angeline Davis | Obstetrics & Gynecology | 2813 Hillcrest Ave, Augusta, GA 30909-3815 | 2016-04-06 |
| 1578928313 | Susan Melanie Davis | Counselor | 1254 Big Talk Ct, San Jose, CA 95120-3910 | 2015-12-21 |
| 1497126882 | Susan Kathryn Davis | Counselor | 2519 E Ellendale Ave, Dallas, OR 97338-9575 | 2015-10-12 |
| 1942605654 | Susan Davis | Registered Nurse | 634 Saint Marks St, Suite B, Redding, CA 96003-2553 | 2014-10-24 |
| 1528468022 | Susan Davis | Registered Nurse | 9648 Parramatta Pl, Highlands Ranch, CO 80130-7156 | 2014-09-03 |
| Street Address |
755 E BOUGHTON RD |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60440-2250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659553642 | Full Sail Partners | Optometrist | 755 E Boughton Rd, Bolingbrook, IL 60440-2250 | 2007-11-30 |
| 1861802456 | Meijer | Point of Service | 755 E Boughton Rd, Bolingbrook, IL 60440-2250 | 2014-05-05 |
| 1336419134 | Meijer Great Lakes Limited Partnership | Durable Medical Equipment & Medical Supplies | 755 E Boughton Rd, Bolingbrook, IL 60440-2250 | 2012-01-10 |
| 1093736175 | Us Vision Optical Inc | Eyewear Supplier (Equipment, not the service) | 755 E Boughton Rd, Bolingbrook, IL 60440-2250 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1851949150 | Rachel Nicole Weis | Student in an Organized Health Care Education/Training Program | 777 Falconridge Way, Bolingbrook, IL 60440 | 2019-08-29 |
| 1578072815 | Onna Ford-kendrick | Nurse Practitioner | 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 | 2017-09-28 |
| 1891245213 | Megan Lotarski | Specialist/Technologist | 6 Copper Ct, Bolingbrook, IL 60440 | 2016-10-10 |
| 1144775800 | Mitchell Quill | Chiropractor | 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 | 2016-08-23 |
| 1477914125 | Alessia L. Elerby | Specialist | 128 S Cass Ave, Westmont, IL 60440 | 2016-03-09 |
| 1982073821 | Melissa Perkins | Counselor | 511 Preston Drive, Bolingbrook, IL 60440 | 2015-09-22 |
| 1821467754 | Advanced Patient Care, LLC. | Pharmacy | 335-337 Remington Blvd., Bolingbrook, IL 60440 | 2015-09-22 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| 1467864512 | Alice II Salons | Specialist | 311 Quadr,., Bolingbrook, IL 60440 | 2014-05-23 |
| Find all providers in zip 60440 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912517236 | Cynthia Lucio | Nurse Practitioner | 6 Dorchester Ct, Bolingbrook, IL 60440-1110 | 2020-08-01 |
| 1174165096 | Michael Boladas Aligno | Nurse Practitioner | 727 Countryside Dr, Bolingbrook, IL 60490-5459 | 2019-10-11 |
| 1225692080 | Jacinta Chinyere Igbo | Nurse Practitioner | 412 Ingleside Dr, Bolingbrook, IL 60490-3106 | 2019-04-26 |
| 1952808081 | Resmi A George | Nurse Practitioner | 398 S Palmer Dr, Bolingbrook, IL 60490-2040 | 2018-04-06 |
| 1275049694 | Isoken Franca Ogbomo | Nurse Practitioner | 1522 Schafer Ave, Bolingbrook, IL 60490-3230 | 2017-12-21 |
| 1578072815 | Onna Ford-kendrick | Nurse Practitioner | 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 | 2017-09-28 |
| 1063949840 | Treesa J Thomas | Nurse Practitioner | 574 Warbler Dr, Bolingbrook, IL 60440-4200 | 2017-05-11 |
| 1639521669 | Natalie Joann Kalvoda | Nurse Practitioner | 420 Remington Blvd Ste 125, Bolingbrook, IL 60440-4950 | 2016-07-01 |
| 1669845434 | Geraldine Bemabou Ntum | Nurse Practitioner | 1617 Trails End Ln, Bolingbrook, IL 60490-3291 | 2015-11-03 |
| 1518103134 | Helen Mary Muddamalle | Nurse Practitioner | 1900 Marne Rd, Bolingbrook, IL 60490-4597 | 2009-01-02 |
| Find all providers in BOLINGBROOK | ||||
| City | BOLINGBROOK |
| Zip Code | 60440 |
Please comment or provide details below to improve the information on MRS. SUSAN M DAVIS.
| 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.