DR. SUSAN MARIE SLATTERY M.D.
NPI 1487916482
Pediatrics - Neonatal-Perinatal Medicine in Chicago, IL

Active since June 14, 2012PECOS Enrolled
225 E CHICAGO AVE, BOX 45, CHICAGO, IL 60611(312) 227-5323(312) 227-9758 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Susan Marie Slattery M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUSAN MARIE SLATTERY M.D. (NPI 1487916482) is an individual neonatal-perinatal medicine provider in Chicago, Illinois, licensed in Illinois (125061450) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487916482
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. SUSAN MARIE SLATTERYCredential: M.D.
Location Address225 E CHICAGO AVE, BOX 45Chicago, IL 60611-2991
Mailing Address225 E Chicago Ave # 40Chicago, IL 60611-2991 · (312) 227-3300
Fax(312) 227-9758
Sole ProprietorYes
Enumeration DateJune 14, 2012
Last NPPES UpdateOctober 14, 2024
NPPES CertifiedOctober 14, 2024
NPI 1487916482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License Licensed in IL · 125061450
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
225 E CHICAGO AVE, Chicago, IL 60611

Other Names 1

Former Name (1)Dr. Susan Marie Slattery M.d.

Other Identifiers 1

Medicaid125061450IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Susan Marie Slattery M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
225 E CHICAGO AVE
CHICAGO, IL 60611
Pediatrics
225 E CHICAGO AVE
CHICAGO, IL 60611
Nurse Practitioner (Pediatrics)
225 E CHICAGO AVE
CHICAGO, IL 60611
Nurse Practitioner (Neonatal)
225 E CHICAGO AVE
CHICAGO, IL 60611
Pediatrics (Hospice and Palliative Medicine)
225 E CHICAGO AVE
CHICAGO, IL 60611
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
225 E CHICAGO AVE
CHICAGO, IL 60611
Student in an Organized Health Care Education/Training Program
225 E CHICAGO AVE
CHICAGO, IL 60611
Student in an Organized Health Care Education/Training Program
225 E CHICAGO AVE
CHICAGO, IL 60611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Slattery's NPI number?

The NPI number for Susan Slattery is 1487916482. It was assigned to this individual provider in the NPPES registry on June 14, 2012. The provider is also known as Dr. Susan Marie Slattery M.D..

Where is Susan Slattery located?

Susan Slattery practices at 225 E Chicago Ave Box 45, Chicago, IL 60611. The listed phone number is (312) 227-5323.

What is Susan Slattery's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Susan Slattery enrolled in Medicare?

Yes. Susan Slattery is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Slattery was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.