MRS. CHRISTINE M. SUTICH (NPI# 1750497467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750497467 |
| Entity Type | Individual |
| Full Name | MRS. CHRISTINE M. SUTICH |
| Credential | APN |
| Practice Address |
9125 S Pulaski Rd Evergreen Park IL 60805-1441 |
| Practice Telephone | 7084227715 |
| Practice Fax Number | 7084227816 |
| Mailing Telephone | 7084227715 |
| Mailing Fax Number | 7084227816 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
209-003060 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SM0705X |
Clinical Nurse Specialist Specialization: Medical-Surgical |
209-003060 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16605 107th St, Orland Park, IL 604679016 | 7082269860 |
| Street Address |
9125 S PULASKI RD |
| City | EVERGREEN PARK |
| State | IL |
| Zip Code | 60805-1441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205869815 | Ejikeme O Obasi | Internal Medicine | 9125 S Pulaski Rd, Evergreen Park, IL 60805-1441 | 2006-07-08 |
| 1295379543 | Clarence G Rojo | Nurse Practitioner | 9125 S Pulaski Rd, Evergreen Park, IL 60805-1441 | 2019-10-30 |
| 1831676014 | Ishmaella R Wilson-mills | Nurse Practitioner | 9125 S Pulaski Rd, Evergreen Park, IL 60805-1441 | 2018-07-20 |
| 1033514625 | George Sousanieh | Internal Medicine | 9125 S Pulaski Rd, Evergreen Park, IL 60805-1441 | 2014-10-26 |
| 1285941153 | Chijoke H Onyenwenyi | Internal Medicine | 9125 S Pulaski Rd, Evergreen Park, IL 60805-1441 | 2010-09-13 |
| 1912225202 | Lilla Wojciechowski | Nurse Practitioner | 9125 S Pulaski Rd, Evergreen Park, IL 60805-1441 | 2010-05-11 |
| 1508090234 | Chaitanya Rajendra Desai | Internal Medicine | 9125 S Pulaski Rd, Evergreen Park, IL 60805-1441 | 2009-05-09 |
| 1144476912 | Priya Bhatia Raju | Internal Medicine | 9125 S Pulaski Rd, Evergreen Park, IL 60805-1441 | 2008-08-13 |
| 1063670719 | Amishi Patel | Internal Medicine | 9125 S Pulaski Rd, Evergreen Park, IL 60805-1441 | 2008-05-29 |
| 1881851400 | Natalie M Selk | Internal Medicine | 9125 S Pulaski Rd, Evergreen Park, IL 60805-1441 | 2008-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254603 | Cynthia Nicole Bucio | Pharmacist | 9400 S. Western, Evergreen Park, N/A 60805 | 2020-10-27 |
| 1124530456 | Foundations Counseling, LLC | Social Worker | 9730 S Western Ave Ste 215, Evergreen Park, IL 60805 | 2017-10-26 |
| 1184147886 | Luke Blaeser | Specialist/Technologist | 2856 W. 97th Pl., Evergreen Park, IL 60805 | 2017-07-25 |
| 1396193322 | Daniel Joseph Bierbaum Howard | Emergency Medicine | 2800 95th St, Emergency Department, Evergreen Park, IL 60805 | 2016-05-31 |
| 1588037873 | Lcr Primary Care LLC | Exclusive Provider Organization | 9237 S.pulaski, Ste. 2s, Evergreen Park, IL 60805 | 2015-11-09 |
| 1447639091 | Nancy Sanchez | Social Worker | 9832 S Utica Ave, Evergreen Park, IL 60805 | 2015-05-28 |
| 1629334743 | Harshad M. Mehta Md Sc | Psychiatry & Neurology | 2850 W. 95th Street, Suite 206, Evergreen Park, IL 60805 | 2012-04-03 |
| 1235407305 | Victoria T Adesina | Pharmacist | 8700 South Kedzie Ave, Evergreen Park, IL 60805 | 2011-12-05 |
| 1891072922 | Zahia-lena Refat Hussien | Pharmacist | 8700 S. Kedzie Ave, Evergreen Park, IL 60805 | 2011-11-03 |
| 1891079091 | Denise Adams | Occupational Therapy Assistant | 9217 S. Kedzie, Evergreen Park, IL 60805 | 2011-10-06 |
| Find all providers in zip 60805 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750621884 | Cynthia M Hayes | Clinical Nurse Specialist | 2850 W 95th St, Evergreen Park, IL 60805-2735 | 2013-02-27 |
| 1336488212 | The Cardiology Group | Clinical Nurse Specialist | 2850 W 95th St, Suite 305, Evergreen Park, IL 60805-2735 | 2013-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942668355 | Joannne Geralyn Delany | Clinical Nurse Specialist | 13133 Meadowview Ln, Homer Glen, IL 60491-9155 | 2016-02-01 |
| 1033559802 | Shannon L Laesch | Clinical Nurse Specialist | 2005 Jacobssen Dr Ste A, Normal, IL 61761-6288 | 2013-06-26 |
| 1427323898 | Kara Michelle Aalfs | Clinical Nurse Specialist | 6n910 Gilmore Dr, Saint Charles, IL 60175-8314 | 2012-03-18 |
| 1528351962 | Kristi Kae Williams | Clinical Nurse Specialist | 530 Ne Glenoak Avenue Pob Suite 108, Peoria, IL 61603-3117 | 2011-05-18 |
| 1427356336 | Lissa J Diefendorf | Clinical Nurse Specialist | 403 W Corrington Ave, Peoria, IL 61604-2803 | 2011-03-02 |
| 1326354358 | Sheila A Harmon | Clinical Nurse Specialist | 654 East 47th St, Access Booker Family Health Center, Chicago, IL 60653-4224 | 2010-08-27 |
| 1689283723 | Michelle Marie Lovsey | Clinical Nurse Specialist | 1 Saint Anthonys Way, Alton, IL 62002-4568 | 2020-07-24 |
| 1053942318 | Mary Sue Dailey | Clinical Nurse Specialist | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2020-01-27 |
| 1316448947 | Cheryl A Pahl | Clinical Nurse Specialist | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2018-02-28 |
| 1144728155 | Euphemia M Connell | Clinical Nurse Specialist | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2018-01-24 |
| Find all providers with the same taxonomy | ||||
| City | EVERGREEN PARK |
| Zip Code | 60805 |
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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.