Individual provider Active NPI

Susan E. McMillan, NP

  • Nurse Practitioner
  • Glenview, IL
National Provider Identifier
1487099644
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209010367 Issued in IL
Practice address
2180 Pfingsten Rd Ste 3000
Glenview, IL 60026-1340
Phone
(847) 503-3000
Fax
(847) 503-3500
NPI assigned
May 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209010367 IL Primary

Addresses

Primary practice location

2180 Pfingsten Rd Ste 3000
Glenview, IL 60026-1340

Mailing address

22285 Pepper Road
Suite 401
Lake Barrington, IL 60010-2538
Phone (847) 882-6604

Other practice location 1

22285 Pepper Road
Suite 401
Lake Barrington, IL 60010-2538
Phone (847) 882-6604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130610000581 IL Practitioner - Nurse Practitioner 5395984033 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

2650 Ridge Ave
Evanston, IL 60201-1700
Phone (847) 570-2112

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209010367ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Jun 24, 2014 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jun 24, 2014 Accepting new patients
Endeavor Health Medical Group CurrentSince May 6, 2024 Accepting new patients
Advanced Rehabilitation Care, LLC CurrentSince Feb 1, 2023 Accepting new patients
Endeavor Health Medical Group CurrentSince May 6, 2024 Accepting new patients
Peak Therapeutics, LTD PastSince Nov 7, 2014 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

1725 W Harrison St
Ste 818
Chicago, IL 60612
Phone (312) 942-4444

9532 Eagle Way
Chicago, IL 60678

1725 W Harrison St
Ste 250
Chicago, IL 60612
Phone (312) 942-6163

1725 W Harrison St
Ste 970
Chicago, IL 60612
Phone (312) 563-3447

680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

1000 Central St
Ste 880
Evanston, IL 60201
Phone (847) 570-2825

2180 Pfingsten Rd
Glenview, IL 60026
Phone (847) 503-1000

2180 Pfingsten Rd
Ste 3000
Glenview, IL 60026
Phone (847) 503-3000

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

920 Milwaukee Ave
Lincolnshire, IL 60069
Phone (847) 383-2700

9700 Gross Point Rd
Skokie, IL 60076
Phone (847) 674-7210

200 N Bryant Ave
Ste 10
Edmond, OK 73034

Organizations & group practices 6

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 2

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": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1487099644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22285 PEPPER ROAD",
            "address_2": "SUITE 401",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "600102538",
            "telephone_number": "847-882-6604",
            "fax_number": "847-882-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 PFINGSTEN RD STE 3000",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261340",
            "telephone_number": "847-503-3000",
            "fax_number": "847-503-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22285 Pepper Road",
            "address_2": "Suite 401",
            "address_purpose": "LOCATION",
            "city": "Lake Barrington",
            "state": "IL",
            "postal_code": "600102538",
            "country_code": "US",
            "telephone_number": "847-882-6604",
            "fax_number": "847-882-6228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "SUSAN",
        "middle_name": "E.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209010367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.