| Ms Susan A Mack, APRN-FPA | |
|
514 Teela Ln, Des Plaines, IL 60016-1230 | |
| (847) 692-6000 | |
| (847) 692-6112 |
| Full Name | Ms Susan A Mack |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 514 Teela Ln, Des Plaines, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003808270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 277000186 (Illinois) | Primary |
| 363L00000X | Nurse Practitioner | 209002933 (Illinois) | Secondary |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190507001451 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Susan A Mack, APRN-FPA 514 Teela Ln, Des Plaines, IL 60016-1230 Ph: (847) 692-6000 | Ms Susan A Mack, APRN-FPA 514 Teela Ln, Des Plaines, IL 60016-1230 Ph: (847) 692-6000 |
Caroline Odior Shodunola, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 595 Anita St # 595a, Des Plaines, IL 60016 Phone: 773-475-1210 | |
Nikola Driscoll, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 41 N Westgate Rd, Des Plaines, IL 60016 Phone: 773-899-0483 | |
Amitaben Patel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2250 E Devon Ave Ste 333, Des Plaines, IL 60018 Phone: 224-803-2273 | |
Sivani Patel, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1426 Danbury Ln, Des Plaines, IL 60018 Phone: 224-595-7813 | |
Mr. Ibrahim Aldasoqi, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 Potter Rd, Des Plaines, IL 60016 Phone: 773-319-2317 | |
Purvi Gabhawala, AGNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 N River Rd, Des Plaines, IL 60016 Phone: 847-290-1300 |