Active NPI
Susan Hillary Nack, D.O.
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 036-123319
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2009822690 | Medicaid | IN | |
| 036123319-1 | Medicaid | IL |
Other names 1
- S. Hillary Nack
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036-123319 | IL | MD | Physical Medicine & Rehabilitation Physician |
| 020-03652A | IN | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Current | Accepting new patients | |
| Intermountain Front Range, Inc. | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Healthone Clinic Services - Surgery Neurological LLC | Current | Accepting new patients | |
| Intermountain Front Range, Inc. | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current | 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
- 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.
-
- Neurological Surgery Physician
- Denver, CO
- NPI 1760794481
-
- Internal Medicine Physician
- Wheat Ridge, CO
- NPI 1083444079
-
- Family Medicine Physician
- Denver, CO
- NPI 1083021083
Physical Medicine & Rehabilitation
-
- General Acute Care Hospital
- Wheat Ridge, CO
- NPI 1619706249
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Wheat Ridge, CO
- NPI 1649210188
Physical Medicine & Rehabilitation
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1083598874
-
- Primary Care Clinic/Center
- Aurora, CO
- NPI 1639784010
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, CO
- NPI 1396790200
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.