SUSIE CHUNG (NPI# 1679680490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679680490 |
| Entity Type | Individual |
| Full Name | SUSIE CHUNG |
| Credential | D.D.S. |
| Practice Address |
4432 Oakton St Suite B Skokie IL 60076-3259 |
| Practice Telephone | 8479423887 |
| Practice Fax Number | 8476777454 |
| Mailing Telephone | 8479423887 |
| Mailing Fax Number | 8476777454 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
19025528 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326370594 | Susie S Chung | Pharmacist | 1350 Huguenot Ave, Staten Island, NY 10312-5723 | 2010-02-12 |
| 1760417471 | Susie Chung | Internal Medicine | 139 Centre St. Suite 320, New York, NY 10013-3100 | 2006-07-11 |
| 1205001286 | Susie Chung | Psychologist | 22 Gordon Ave, Lawrenceville, NJ 08648-1033 | 2008-04-29 |
| 1912961871 | Susie N. Chung | Obstetrics & Gynecology | 120 Sister Pierre Dr, Suite 303, Towson, MD 21204-7516 | 2006-04-17 |
| Street Address |
4432 OAKTON ST SUITE B |
| City | SKOKIE |
| State | IL |
| Zip Code | 60076-3259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881086080 | Bodyworks for Vets | Public Health or Welfare | 4432 Oakton St, Skokie, IL 60076-3259 | 2015-02-24 |
| 1225352628 | Horizon Wellness Center, Inc. | Clinic/Center | 4432 Oakton St, Skokie, IL 60076-3259 | 2010-03-15 |
| 1104989144 | Hong B. Yim | Chiropractor | 4432 Oakton St, Skokie, IL 60076-3259 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902456999 | Gateway Foundation, Inc | Clinic/Center | 4028 W. Dempster, Ste 100, Skokie, IL 60076 | 2019-09-12 |
| 1336798255 | Renee Rosenberg | Speech-Language Pathologist | C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 | 2019-09-04 |
| 1710531223 | Dw Care Solutions | Hospice Care, Community Based | 4556 Oakton St, Suite 205, Skokie, IL 60076 | 2019-08-01 |
| 1689228157 | Elaine Ng | Pharmacist | 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 | 2019-08-01 |
| 1881169381 | Kathleen Pyles | Registered Nurse | 9650 Gross Point Rd # 4900, Skokie, IL 60076 | 2018-10-10 |
| 1174013452 | Vitae Health of Illinois LLC | Social Worker | 3450 Oakton St, Skokie, IL 60076 | 2018-05-13 |
| 1396253530 | Jodi Novick Okner | Social Worker | 9134 Kilbourn Avenue, Skokie, IL 60076 | 2018-01-22 |
| 1700335924 | Olumide Adeyemo | Nurse Practitioner | 4711 Golf Rd Suite 1250, Skokie, IL 60076 | 2016-09-28 |
| 1255705315 | Malka Rokach | Pharmacist | 3358 W Touhy, Skokie, IL 60076 | 2015-11-30 |
| 1578932620 | Katrina Margaret Keithley | Physician Assistant | 9669 Kenton Ave Ste 203, Skokie, IL 60076 | 2015-09-18 |
| Find all providers in zip 60076 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386079689 | Bryan Jacobs | Dentist | 4905 Old Orchard Ctr Ste 728, Skokie, IL 60077-4734 | 2013-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039947 | Yale Cho | Dentist | 17w110 22nd St Ste 150, Oakbrook Terrace, IL 60181-4454 | 2020-09-25 |
| 1720622152 | Sandra Altarawneh | Dentist | Uic College of Dentistry, 801 S. Paulina Street, Chicago, IL 60612 | 2019-10-29 |
| 1841848355 | Prime Dental Specialists | Dentist | 2638 Patriot Blvd, Glenview, IL 60026-8024 | 2019-08-28 |
| 1578047882 | Mohammed Salih | Dentist | 4408 W Lawrence Ave Ste 2, Chicago, IL 60630-2511 | 2018-09-21 |
| 1396256350 | Christopher William Coffey | Dentist | 14600 S La Grange Rd Ste 5, Orland Park, IL 60462-2580 | 2017-10-18 |
| 1801349196 | Delsaz Sultan | Dentist | 1301 W 22nd St Ste 1007, Oak Brook, IL 60523 | 2016-08-03 |
| 1578985495 | Fransiskus Andrianto Tjiptowidjojo | Dentist | 1901 N Roselle Rd Ste 110, Schaumburg, IL 60195-3179 | 2014-01-11 |
| 1790932325 | Samson Sol Flores | Dentist | 1415 Oakton St, Evanston, IL 60202-2720 | 2008-08-26 |
| 1396991196 | Lake Forest Dental Associates, PC | Dentist | 133 E Laurel Ave, Lake Forest, IL 60045-1205 | 2008-08-12 |
| 1962663245 | Harvey Breckner | Dentist | 600 Country Club Vw, Suite 4, Edwardsville, IL 62025-3696 | 2008-06-19 |
| Find all providers with the same taxonomy | ||||
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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.