Suzanne Marie Anderer

Primary specialty

SpecialistTaxonomy code 174400000X

License

220.000021 Issued in IL

Practice address

8206 W Woodvale Rd
Frankfort, IL 60423-9171

Phone

(815) 469-0050

Fax

(815) 469-0050

NPI assigned

Jul 11, 2016

Last updated

Jul 11, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Suzanne Anderer Le/Cpe Inc.

  • Specialist
  • Frankfort, IL
  • NPI 1104278357
  NPD (past) Authorized official

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1396197646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8206 W WOODVALE RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604239171",
            "telephone_number": "815-469-0050",
            "fax_number": "815-469-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8206 W WOODVALE RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604239171",
            "telephone_number": "815-469-0050",
            "fax_number": "815-469-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERER",
        "first_name": "SUZANNE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "220.000021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELECTROLOGIST LICENSE NUMBER",
            "identifier": "220.000021",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Frankfort, IL
• Providers in Frankfort, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.