Susan M Gradle is a Pediatrics in Chicago, Illinois. Susan M Gradle practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Susan M Gradle is 1447444682. The last update date is 2022-10-24.
Susan M Gradle's current location address is 5841 S Maryland Ave, Chicago, Illinois. You can contact this provider via phone number 8888240200. The mailing address for Susan M Gradle is 5841 S Maryland Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan M Gradle |
|---|---|
| Address | 5841 S Maryland Ave, Chicago, Illinois |
| Phone Number | 8888240200 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1447444682 |
|---|---|
| Provider Enumeration Date | 2007-08-30 |
| Last Updated Date | 2022-10-24 |
Provider Mailing Address Detail
| Address | 5841 S Maryland Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606371443 |
| Phone Number | 8888240200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 209003438 |
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Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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Post Comment/ Review Below
What is the Susan M Gradle's 1447444682?
The Susan M Gradle's NPI (National Provider Identifier) Number is 1447444682. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Susan M Gradle's physical address?
The Susan M Gradle is physically located at 5841 S Maryland Ave, in the city of Chicago, IL, with the postal code 606371443.
What is Susan M Gradle's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Susan M Gradle's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 363Lp0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1447444682 to Susan M Gradle?
The Susan M Gradle received its 1447444682 assignment from the Centers for Medicare & Medicaid Services on 2007-08-30.
As of what date were the details pertaining to Susan M Gradle last refreshed?
The information related to the Susan M Gradle, including its address, specialty, and other relevant details, was last updated on 2022-10-24.