DR. SUSAN JUDITH SOIFERMAN PHD,LCPC,RN NPI 1003874173

in Chicago, IL

About SUSAN SOIFERMAN

Susan Soiferman is a provider in Chicago, IL. The NPI number assigned to this provider is 1003874173. The provider is registered as an individual and their NPI record was last updated 10 years ago.

NPI1003874173 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. SUSAN JUDITH SOIFERMAN PHD,LCPC,RN
Provider Location Address2437 N SOUTHPORT AVE DOCTORS' OFFICES CHICAGO, IL 60614 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address2050 W GRACE ST CHICAGO, IL 60618 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date05-01-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-08-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. SUSAN JUDITH SOIFERMAN PHD,LCPC,RN
2437 N SOUTHPORT AVE
DOCTORS' OFFICES
CHICAGO, IL
ZIP 60614
Phone: (773) 248-0143
Fax: (773) 348-1467
Get Directions

Mailing Address

DR. SUSAN JUDITH SOIFERMAN PHD,LCPC,RN
2050 W GRACE ST
CHICAGO, IL
ZIP 60618
Phone: (773) 348-1467
Fax: (773) 348-1467

Primary Taxonomy

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalILN/A
2103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical5507OHN/A

Map Location


DR. SUSAN JUDITH SOIFERMAN PHD,LCPC,RN address is 2437 N SOUTHPORT AVE DOCTORS' OFFICES CHICAGO, IL 60614

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063836468 JULIE KRISTIN DAUGHERTY A.P.N.
Individual
Nurse Practitioner (Family)2437 N SOUTHPORT AVE
CHICAGO, IL 60614
(773) 244-9600
1174992218SYMPHONY IVY LLC
Organization
Assisted Living Facility2437 N SOUTHPORT AVE
CHICAGO, IL 60614
(773) 472-8400
1528139292CLARIDGE IVY, LTD
Organization
Assisted Living Facility2437 N SOUTHPORT AVE
CHICAGO, IL 60614
(773) 472-8400
1538119268DR. MARLA KUSHNER DO
Individual
Family Medicine2437 N SOUTHPORT AVE
CHICAGO, IL 60614
(773) 244-9600
1669591509M .KUSHNER MD
Organization
Family Medicine2437 N SOUTHPORT AVE
CHICAGO, IL 60614
(773) 244-9600