TIFFANY CRYSTAL SUCIU NPI 1063280774

NPI Information

  • NPI: 1063280774
  • Provider Name: TIFFANY CRYSTAL SUCIU
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3705 DEERFIELD RD
    RIVERWOODS, IL
    ZIP 60015
  • Phone: (847) 947-9000

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NPI Details

Tiffany Crystal Suciu is a family nurse practitioner in Riverwoods, IL. Tiffany Crystal Suciu NPI is 1063280774. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3705 DEERFIELD RD
RIVERWOODS, IL
ZIP 60015-540
Phone: (847) 947-9000

The NPI 1063280774 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/13/2023 and was last updated on 12/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily209029030ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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