Active NPI 1255304945 Individual Practitioner Female Practitioner

Suzanne Michelle Teal , NURSE PRACTITIONER

Nurse Practitioner - Pediatrics • Park Ridge, IL

Professional Overview & Biography Verified Profile Summary

Suzanne Teal, NURSE PRACTITIONER is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Park Ridge, IL. Practice services are available at 1775 DEMPSTER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1775 Dempster St

Park Ridge, IL 600681143

Telephone 8477235043

Associated Practice Facility / Clinic

🏢 Midwest Diagnostic Pathology Sc Facility NPI 1982606380

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Park Ridge, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 6.3 Yrs

State Avg: 9.5 Yrs

Regional Practice Density

21 Specialists

Practicing in Park Ridge, IL (694 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

CMS Verified: 2021-12-17

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License IL 209005084

Definition to come...

Practice Associates & Co-Workers

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

2 Associated Practitioners

Alyssa Johnson , PA

Physician Assistant

NPI 1023737731

Physician Assistant

Swati Bavisi , RN, MS, CPNP, APN

Nurse Practitioner - Pediatrics

NPI 1730381302

Registered Nurse, Master of Science, Certified Pediatric Nurse Practitioner, Advanced Practice Nurse

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location December 17, 2021

Registered at 1775 DEMPSTER ST, PARK RIDGE, IL 600681143 (Tel: 8477235043)

📍

Updated Business Mailing Address December 17, 2021

Registered at 1775 DEMPSTER ST, PARK RIDGE, IL 600681143 (Tel: 8477235043)

✅

NPI Profile Active December 08, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location December 08, 2008

Registered at 2050 LARKIN AVE, ELGIN, IL 601234405 (Tel: 6305331019)

📍

Updated Business Mailing Address December 08, 2008

Registered at PO BOX 447, ROUND LAKE, IL 600730447 (Tel: 6305331019)

👤

Provider Name / Credentials Updated December 08, 2008

Recorded as SUZANNE TEAL, NURSE PRACTITIONER

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2008

Nurse Practitioner (License #209005084 in IL)

🟢

Initial NPI Registration & Enumeration February 11, 2006

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: 1255304945

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 11, 2006

Last Update: December 17, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1775 Dempster St

Park Ridge, IL 600681143

Phone: 8477235043

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.