| Suzanne P Nelson, MD | |
|
3633 W Lake Ave, Glenview, IL 60026-5805 | |
| (800) 543-7362 | |
| Not Available |
| Full Name | Suzanne P Nelson |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Pediatric Gastroenterology |
| Location | 3633 W Lake Ave, Glenview, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588650139 | NPI | - | NPPES |
| 036081181 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0206X | Pediatrics - Pediatric Gastroenterology | 036081181 (Illinois) | Primary |
| Entity Name | Lurie Children's Medical Group Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518064716 PECOS PAC ID: 4789597279 Enrollment ID: O20031111000157 |
| Mailing Address | Practice Location Address |
|---|---|
| Suzanne P Nelson, MD 777 Oakmont Ln Ste 1600, Westmont, IL 60559-5511 Ph: (630) 789-2550 | Suzanne P Nelson, MD 3633 W Lake Ave, Glenview, IL 60026-5805 Ph: (800) 543-7362 |
Kala Sukerkar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2406 Indian Ridge Dr, Glenview, IL 60026 Phone: 847-291-1878 |
Jenny Kim, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2701 Patriot Blvd, Glenview, IL 60026 Phone: 312-926-7337 |
Diane Dimaggio, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2601 Compass Rd, Suite 120, Glenview, IL 60026 Phone: 847-998-8806 Fax: 847-998-8807 |
Jason J Canel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1435 Waukegan Rd, Glenview, IL 60025 Phone: 847-832-6500 Fax: 847-486-8906 |
Dr. Leslie Anne Cordes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 780 Hudson Rd, Glenview, IL 60025 Phone: 847-657-8348 Fax: 215-944-7257 |
Sheri S Fisher, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 Compass Rd, Suite 120, Glenview, IL 60026 Phone: 847-998-8806 Fax: 847-998-8807 |
Thea L Yosowitz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1435 Waukegan Rd, Glenview, IL 60025 Phone: 847-832-6500 |