Active NPI
Suzanne Fleck, PHARM D
- Pharmacist
- Plainfield, IL
National Provider Identifier
1093303471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.291260
- Practice address
- 2375 Drauden Rd
Plainfield, IL 60586-2213 - Phone
- (815) 577-0457
- NPI assigned
- Jan 1, 2021
- Last updated
- Jan 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.291260 | IL | Primary |
Addresses
Primary practice location
2375 Drauden Rd
Plainfield, IL 60586-2213
Mailing address
21043 Lakewoods LN
Shorewood, IL 60404-0606
Phone (815) 258-1837
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.291260 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Park CVS LLC | Current | Accepting new patients |
Locations
2375 Drauden Rd
Plainfield, IL 60586
Phone (815) 577-0457
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609459200000",
"number": "1093303471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21043 LAKEWOODS LN",
"city": "SHOREWOOD",
"state": "IL",
"postal_code": "604040606",
"telephone_number": "815-258-1837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2375 DRAUDEN RD",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605862213",
"telephone_number": "815-577-0457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLECK",
"first_name": "SUZANNE",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-01",
"last_updated": "2021-01-01",
"certification_date": "2021-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.291260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.