Susan C O'Neill, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209-003780 Issued in IL

Practice address

1795 S Washington St
Suite 106
Naperville, IL 60565-2496

Phone

(630) 527-0716

Fax

(630) 420-1757

NPI assigned

Jul 27, 2006

Last updated

May 14, 2010By 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)

Enrolled

Credentials

Nurse Practitioner

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.

• NP Healthcare

  • Family Nurse Practitioner
  • Naperville, IL
  • NPI 1174701437
  NPD (past) Authorized official
• Mavena Derma Centers, Inc.

  • Specialist
  • Arlington Heights, IL
  • NPI 1396768727
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273795200000",
    "number": "1659385722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 S WASHINGTON ST",
            "address_2": "SUITE 106",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605652496",
            "telephone_number": "630-527-0716",
            "fax_number": "630-420-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 S WASHINGTON ST",
            "address_2": "SUITE 106",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605652496",
            "telephone_number": "630-527-0716",
            "fax_number": "630-420-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "SUSAN",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2010-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-003780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01636236",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Surges O'Donnell, LCSW
• Sara Elizabeth O'Hare
• Brian O'Leary, MD
• Seanna M O'Malley, DPT
• Kelly Erin O'Neill, DC
• Bailey Nicole O'Rilley
• Tracy Joseph O'Rorke, PHARM D
• Patricia C O'Sullivan, M.ED.
• Oakhill Wellness & Counseling Center
• Oasis Medical Practice LLC

• Family Nurse Practitioner in Naperville, IL
• Providers in Naperville, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; 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.