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Deactivated NPI 1053306993 Deactivated / Inactive NPI Female Practitioner

Dr. Susan Luck , MD

Surgery - Pediatric Surgery • Chicago, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Susan Luck has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 16, 2005
NPI Deactivation Date November 22, 2023
Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Susan Luck, MD was a registered Surgery - Pediatric Surgery practicing in Chicago, IL. Throughout an active medical career spanning 18 years, Dr. Luck provided care at the practice location at 2300 N CHILDRENS PLZ until profile deactivation on 2023-11-22.

Practice Location & Contact Primary Location

Practice Address

2300 N Childrens Plz

Chicago, IL 606143363

Telephone 7738804000
Fax 7732811576
Associated Practice Facility / Clinic
🏢 Children's Memomrial Hospital Facility NPI 1407892318

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Pediatric Surgery in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.2 Yrs
State Avg: 26.6 Yrs
Regional Practice Density
49 Specialists

Practicing in Chicago, IL (73 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery - Pediatric Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0120X

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1023040367

Doctor of Medicine (M.D.)

Kathleen Russell , CPNP

Nurse Practitioner - Pediatrics

NPI 1023044849

Certified Pediatric Nurse Practitioner

Dr. Tamar Ben-Ami , MD

Radiology - Diagnostic Radiology

NPI 1043210107

Doctor of Medicine (M.D.)

Ann Marie Simonelli , APN, CNP

Nurse Practitioner - Neonatal

NPI 1043249824

Advanced Practice Nurse, Certified Nurse Practitioner

Dr. Tord Alden , MD

Neurological Surgery

NPI 1053307215

Doctor of Medicine (M.D.)

Dr. James Conway , MD

Radiology - Diagnostic Radiology

NPI 1063405512

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 22, 2023

Record deactivated on November 22, 2023

NPI Profile Active March 25, 2008

NPI status registered as active in NPPES database

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Updated Practice Location March 25, 2008

Registered at 2300 N CHILDRENS PLZ, CHICAGO, IL 606143363 (Tel: 7738804000)

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Updated Business Mailing Address March 25, 2008

Registered at 35422 EAGLE WAY, CHICAGO, IL 606781354 (Tel: 7738804000)

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Provider Name / Credentials Updated March 25, 2008

Recorded as SUSAN LUCK, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2008

Surgery

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Initial NPI Registration & Enumeration September 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053306993
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 16, 2005
Last Update: March 25, 2008
Deactivation Date: November 22, 2023

Mailing Address

35422 Eagle Way

Chicago, IL 606781354

Phone: 7738804000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.