Tiffany Crystal Suciu

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209029030 Issued in IL

Practice address

3705 Deerfield Rd
Riverwoods, IL 60015-3540

Phone

(847) 947-9000

NPI assigned

Dec 13, 2023

Last updated

Dec 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Top Medical Consultants PC

  • Internal Medicine Physician
  • Glenview, IL
  • NPI 1194497941
  Medicare reassignment NPD

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1063280774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "982 NEUHAVEN DR",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600026420",
            "telephone_number": "224-814-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 DEERFIELD RD",
            "city": "RIVERWOODS",
            "state": "IL",
            "postal_code": "600153540",
            "telephone_number": "847-947-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "982 Neuhaven Dr",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "IL",
            "postal_code": "600026420",
            "country_code": "US",
            "telephone_number": "224-814-2266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUCIU",
        "first_name": "TIFFANY",
        "middle_name": "CRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209029030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Ann Senderak, LCPC
• Serenity Health Group PLLC
• Spero Pain Relief Therapy of Illinois, PC
• Stat Imaging, LLC
• Cynthia Jill Stulp, SLP
• Tamid Medical Group
• Therapy Masters, Inc.
• Therapy Rehab LTD.
• Arina Toropova
• Two Non-Blondes, LLC

• Family Nurse Practitioner in Riverwoods, IL
• Providers in Riverwoods, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.