Jane Elizabeth Sutkowski, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

209005288 Issued in IL

Practice address

15620 South Wood Street
Harvey, IL 60426

Phone

(708) 333-3030

Fax

(708) 333-6060

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Jane Elizabeth Radulovich Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

Practice roles

Interoperability endpoints

• Direct secure messaging: jane.sutkowski.1@13826.direct.athenahealth.com

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.

• Blue Island Clinic Company LLC

  • Internal Medicine Physician
  • Blue Island, IL
  • NPI 1609148139

  Advanced Practice Midwife

  NPD (past)
• Blue Island HBP Medical Group LLC

  • Hospitalist Physician
  • Blue Island, IL
  • NPI 1902170848
  NPD (past)
• Chicago Metropolitan Obstetricians & Gynecologists, LTD

  • Obstetrics & Gynecology Physician
  • Harvey, IL
  • NPI 1306913454
  NPD (past)
• Chicago Metropolitan Obstetricians Gynecologists and Pediatricians

  • Obstetrics & Gynecology Physician
  • Harvey, IL
  • NPI 1609216084
  NPD (past)
• MSMC Investors, LLC

  • Family Medicine Physician
  • Blue Island, IL
  • NPI 1225286412

  Advanced Practice Midwife

  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699853069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4685",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606804685",
            "telephone_number": "708-333-3030",
            "fax_number": "708-333-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15620 SOUTH WOOD STREET",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "60426",
            "telephone_number": "708-333-3030",
            "fax_number": "708-333-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTKOWSKI",
        "first_name": "JANE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209005288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED NURSE MIDWIFE L",
            "identifier": "209005288",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "RADULOVICH",
            "middle_name": "ELIZABETH",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Stephen, PHARMD
• Anita A. Stewart, M.D.
• Mark Stossel, M.D.
• Ponnambalam S Sundram, MD
• Sara C Sungkapan, MS, OTR/L
• Erica E Taylor, MD
• Jennifer Taylor, MD
• The Ingalls Memorial Hospital
• The Ingalls Memorial Hospital
• The Ingalls Memorial Hospital

• Advanced Practice Midwife in Harvey, IL
• Providers in Harvey, IL by specialty
• Advanced Practice Midwife in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.