Individual provider Active NPI

Susan Hillary Nack, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
National Provider Identifier
1265628036
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036-123319 Issued in IL
Practice address
345 E Superior St
Chicago, IL 60611-2654
Phone
(312) 238-1000
NPI assigned
Sep 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 020-03652A IN
Physical Medicine & Rehabilitation Physician 208100000X 036-123319 IL Primary

Addresses

Primary practice location

345 E Superior St
Chicago, IL 60611-2654

Mailing address

345 E Superior St
Chicago, IL 60611-2654
Phone (312) 238-1000

Other identifiers 2

IdentifierTypeStateIssuer
2009822690MedicaidIN
036123319-1MedicaidIL

Other names 1

  • S. Hillary Nack Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170206000714 CO Practitioner - Physical Medicine and Rehabilitation 3971658659 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Nova Southeastern College of Osteo Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthone Clinic Services - Surgery Neurological LLCGroup PAC ID 1658556345, 4 clinicians

Practice addresses (Care Compare)

501 E Hampden Ave
Swedish Medical Center
Englewood, CO 80113-2702
Phone (303) 788-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036-123319ILMDPhysical Medicine & Rehabilitation Physician
020-03652AINMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Front Range, Inc. Current Accepting new patients
Intermountain Medical Group Denver, LLC Physical Medicine & Rehabilitation Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Oct 31, 2021 Accepting new patients
Intermountain Front Range, Inc. Physical Medicine & Rehabilitation CurrentSince Feb 15, 2017 Accepting new patients
Healthone Clinic Services - Surgery Neurological LLC CurrentSince Apr 26, 2025 Accepting new patients
Intermountain Front Range, Inc. CurrentSince Feb 15, 2017 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Oct 31, 2021 Accepting new patients

Locations

1444 S Potomac St
Ste 170
Aurora, CO 80012
Phone (303) 481-0030

1601 E 19th Ave
Ste 3050
Denver, CO 80218
Phone (303) 320-1227

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

500 E Hampden Ave
Ste 425
Englewood, CO 80113
Phone (303) 218-4260

8350 Colorado Blvd
Unit 1
Firestone, CO 80504
Phone (303) 689-5160

500 Discovery Pkwy
Ste 100
Superior, CO 80027
Phone (303) 403-7800

3210 Lutheran Pkwy
Wheat Ridge, CO 80033
Phone (303) 425-8000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: susan.nack@hca3.eclinicaldirectplus.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289174400000",
    "number": "1265628036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 E SUPERIOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112654",
            "telephone_number": "312-238-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 E SUPERIOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112654",
            "telephone_number": "312-238-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACK",
        "first_name": "SUSAN",
        "middle_name": "HILLARY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-14",
        "last_updated": "2010-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "020-03652A",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036-123319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2009822690",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036123319-1",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "S.",
            "last_name": "NACK",
            "middle_name": "HILLARY",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.