Susan E Abbinanti, PA-C
Individual provider Active NPI Physician Assistant · Elk Grove Village, IL
NPI 1679647358 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1679647358
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 085-001813 (IL)
- Practice address
- 800 Biesterfield Rd
Suite 120
Elk Grove Village, IL 60007-3311 - Phone
- (847) 952-7205
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northwestern Medical Faculty Foundation
Practice addresses (Care Compare)
4445 W Irving Park Rd
Chicago, IL 60641-2808
4732 N Lincoln Ave
Chicago, IL 60625-8561
Phone (847) 475-2273
675 N Saint Clair St
Chicago, IL 60611-5975
675 N St Clair
Chicago, IL 60611-5975
Hospital & facility affiliations
- Northwestern Memorial Hospital
- Palos Community Hospital
- Northwestern Lake Forest Hospital
- Northwestern Medicine Central Dupage Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040713001036 | IL | Practitioner - Physician Assistant | 5890773089 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085-001813 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current |
Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current |
Accepting new patients | |
| Central Dupage Physician Group | Past | Accepting new patients | |
| Bonaventure Medical Foundation, LLC | Past | Accepting new patients | |
| Midwest Palliative & Hospice Carecenter | Past | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
675 N Saint Clair St
Ste 21-100
Chicago, IL 60611
Phone (312) 908-5284
680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085-001813 | IL | Yes |
Addresses
Primary practice location
800 Biesterfield Rd
Suite 120
Elk Grove Village, IL 60007-3311
Mailing address
5466 N Newcastle Ave
Chicago, IL 60656-2052
Phone (773) 792-9390
Other providers in Elk Grove Village, IL
- 32 Village Dental LLC
- A & E Brothers Inc
- Aashish Taneja MDSC
- Rowena Abasolo
- Marvin Abdeisho
- Dennis C Abella
- Lana Abraham
- Said Abuhasna
- Laurie Aburto
All providers in Elk Grove Village, IL · Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.