Active NPI
Susan Doddridge, FNP-BC
- Family Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.026338
- Practice address
- 4211 N Cicero Ave
Chicago, IL 60641-1651 - Phone
- (773) 794-1000
- NPI assigned
- Nov 14, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.026338 | IL | Primary |
Addresses
Primary practice location
4211 N Cicero Ave
Chicago, IL 60641-1651
Mailing address
4211 N Cicero Ave
Chicago, IL 60641-1651
Phone (773) 794-1000
Other practice location 1
1740 W Taylor St
Chicago, IL 60612-7232
Phone (312) 355-1091
Other names 1
- Susan Daly
Organizations & group practices 28
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.
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
IL
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1134118649
-
- Psychiatric Hospital Unit
- Chicago, IL
- NPI 1073552022
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1124787908
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1154541936
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Chicago, IL
- NPI 1164461117
-
- Federally Qualified Health Center (FQHC)
- Rockford, IL
- NPI 1306486022
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1346596327
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1356000236
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1356367304
-
- Federally Qualified Health Center (FQHC)
- Cicero, IL
- NPI 1407166671
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1861431751
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- The Board of Trustees of the University of Illinois
Practice addresses (Care Compare)
845 W Wilson Ave
Uic Medicine
Chicago, IL 60640-8090
Phone (312) 744-1295
Hospital & facility affiliations
- University of Illinois Hospital and Clinics
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230223002309 | IL | Practitioner - Nurse Practitioner | 6608249529 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.026338 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Physicians Immediate Care North Chicago LLC | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Past | Accepting new patients | |
| Board of Trustees of the University of Illinois | Past | Accepting new patients |
Locations
835 S Wolcott Ave
Rm W140
Chicago, IL 60612
845 W Wilson Ave
Chicago, IL 60640
Phone (312) 744-1295
2242 W Harrison St
Chicago, IL 60612
Phone (312) 413-0502
1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000
3475 S Alpine Rd
Rockford, IL 61109
Phone (815) 874-8000
Interoperability endpoints
- susan.daly.1@14940.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1154039709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4211 N CICERO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606411651",
"telephone_number": "773-794-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4211 N CICERO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606411651",
"telephone_number": "773-794-1000"
}
],
"practiceLocations": [
{
"address_1": "1740 W Taylor St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606127232",
"country_code": "US",
"telephone_number": "312-355-1091",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DODDRIDGE",
"first_name": "SUSAN",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-14",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.026338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "DALY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.