DR. SUSAN J. EAGAN M.D.
NPI 1902813249
Specialist in Champaign, IL

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

Active since August 01, 2006

101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820(217) 366-1255 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Susan J. Eagan M.d. NPPES

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

DR. SUSAN J. EAGAN M.D. (NPI 1902813249) is an individual specialist in Champaign, Illinois and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1902813249

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameDR. SUSAN J. EAGANCredential: M.D.

Location Address101 W UNIVERSITY AVEChampaign, IL 61820-3909

Mailing Address101 W University AveChampaign, IL 61820-3909 · (217) 366-1255

Phone(217) 366-1255

Sole ProprietorNo

Enumeration DateAugust 1, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1902813249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

101 W UNIVERSITY AVE, Champaign, IL 61820

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Other Identifiers 1

Medicare UPING79948

Other Providers at the Same Location NPPES 20

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