Active NPI
Susan Mary Winstead
- Developmental Therapist
- Skokie, IL
National Provider Identifier
1932220449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 4232 Dempster St
Skokie, IL 60076-2008 - Phone
- (847) 869-6610
- Fax
- (847) 869-7380
- NPI assigned
- Apr 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
4232 Dempster St
Skokie, IL 60076-2008
Mailing address
5205 N Long Ave
Chicago, IL 60630-1437
Phone (773) 427-5948
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW09340602P | Other | IL | EI CREDENTIAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932220449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5205 N LONG AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606301437",
"telephone_number": "773-427-5948",
"fax_number": "847-869-7380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4232 DEMPSTER ST",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600762008",
"telephone_number": "847-869-6610",
"fax_number": "847-869-7380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINSTEAD",
"first_name": "SUSAN",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EI CREDENTIAL",
"identifier": "SW09340602P",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Skokie, IL
Sources for this page
- 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.