Susan Feczko, STA

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

1010 N Hooker St Ste 301
Chicago, IL 60642-4633

Phone

(312) 943-3600

NPI assigned

Mar 16, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Icg Home Health Care

  • Home Health Agency
  • Chicago, IL
  • NPI 1922546050
  NPD (past)
• International Consulting Group, Inc

  • Home Health Agency
  • Chicago, IL
  • NPI 1174897144
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1043344211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 S INDIANA AVE APT 319",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161577",
            "telephone_number": "773-744-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N HOOKER ST STE 301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606424633",
            "telephone_number": "312-943-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FECZKO",
        "first_name": "SUSAN",
        "credential": "STA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "IL",
            "license": "217000074",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103034",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Feather, PSYD
• Featherfist
• Featherfist
• Featherfist
• Marilyn Featherston, D.O.
• Daniel Joseph Fedeli, D.C.
• Margaret Anne Fedenia, APRN
• Joel Aaron Feder, D.P.M.
• Lillian Feder
• Lindsay Nicole Feder, PA

• Developmental Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.