Suzanne Chan, DNP,FNP-BC, PMHNP-BC | |
3201 S Wallace St, Chicago, IL 60616-3501 | |
(312) 248-8610 | |
(312) 728-7582 |
Full Name | Suzanne Chan |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 3201 S Wallace St, Chicago, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497299689 | NPI | - | NPPES |
1154187433 | Other | IL | GROUP NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 277000615 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 277000615 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Thorek Memorial Hospital | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lifeline Physicians Llc | 4082083811 | 6 |
Thorek Memorial Hospital | 4981593399 | 32 |
Entity Name | Thorek Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982643961 PECOS PAC ID: 4981593399 Enrollment ID: O20040313000143 |
Entity Name | Medico Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225613219 PECOS PAC ID: 9830508951 Enrollment ID: O20210430002077 |
Entity Name | Lifeline Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841907839 PECOS PAC ID: 4082083811 Enrollment ID: O20221216001643 |
Mailing Address | Practice Location Address |
---|---|
Suzanne Chan, DNP,FNP-BC, PMHNP-BC 3201 S Wallace St, Chicago, IL 60616-3501 Ph: (312) 975-8268 | Suzanne Chan, DNP,FNP-BC, PMHNP-BC 3201 S Wallace St, Chicago, IL 60616-3501 Ph: (312) 248-8610 |
Mr. Gerald M. Bedore, APN/CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 835 S Wolcott Ave Rm E-144, Chicago, IL 60612 Phone: 312-996-7420 Fax: 312-413-8485 | |
Stacy Ervin, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 N Michigan Ave, Chicago, IL 60611 Phone: 866-825-3227 | |
Angela Obondo Peterson, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 259 E Erie St Fl 17, Chicago, IL 60611 Phone: 312-926-6000 Fax: 312-926-0516 | |
Katherine Cappitelli, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 676 N Saint Clair St Ste 2125, Chicago, IL 60611 Phone: 312-472-4218 | |
Juliet Ibanez Panambo Kantoff, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 N Michigan Ave Ste 1200, Chicago, IL 60611 Phone: 312-635-0973 | |
Catherine L Chung, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2142 S Archer Ave, Chicago, IL 60616 Phone: 312-326-1408 | |
Tricia Muir, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 850 W Irving Park Rd, Chicago, IL 60613 Phone: 773-525-6780 |