Susan Lee Engel, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

036074068 Issued in IL

Practice address

1026 N Knight Ave
Park Ridge, IL 60068-1919

Phone

(847) 692-2207

Fax

(847) 692-2209

NPI assigned

Jul 26, 2006

Last updated

Jul 9, 2007By 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

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1396769139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 N KNIGHT AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681919",
            "telephone_number": "847-692-2207",
            "fax_number": "847-692-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 N KNIGHT AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681919",
            "telephone_number": "847-692-2207",
            "fax_number": "847-692-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGEL",
        "first_name": "SUSAN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036074068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beau J Ellsworth, D.C.
• Alexander John Ellyin, MD
• Shayla Marie Emmett, MCMSC, PA-C
• Empowered You Counseling LLC
• Endodontic Associates of Park Ridge LTD
• McKimmon M Engelhardt, DO
• Arlene M Engert, DDS
• Katherine Enrietto
• Christy Lynn Enright, CNM
• Erik R. Benson, LCSW, Inc.

• General Practice Physician in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.