Susan Bingham
Individual provider Active NPI Case Manager/Care Coordinator · Wheaton, IL
NPI 1306233994 · NPPES record last updated Jun 10, 2019
Key facts
- NPI
- 1306233994
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 111 N County Farm Rd
Wheaton, IL 60187-3977 - Phone
- (630) 682-7400
- NPI assigned
- Apr 21, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164002181 | IL | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164002181 | IL | |
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
111 N County Farm Rd
Wheaton, IL 60187-3977
Mailing address
111 N County Farm Rd
Wheaton, IL 60187-3977
Other providers in Wheaton, IL
- Sonal Bhandari
- Jennifer D Bialek
- Catherine A. Bichler
- Arkadiusz Bijak
- Sheri Lynn Billing
- David Thomas Birkhahn-Rommelfanger
- Rima I Birutis
- Kimberly R Blachuciak
- Janelle Blackwell
- Elissa Blake Noble
All providers in Wheaton, IL · Case Manager/Care Coordinator in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.