MS. SUSAN M. GIACCHINO APN NPI 1104845833

NPI Information

NPI: 1104845833
Provider Name: MS. SUSAN M. GIACCHINO, APN
Classification: Clinical Nurse Specialist - 364SC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

PECOS Registration: Yes

Address:
555 W COURT ST
SUITE 108
KANKAKEE, IL
ZIP 60901
Phone: (815) 937-2015
Get Directions

MS. Susan M. Giacchino, APN is a critical care medicine clinical nurse specialist in Kankakee, IL with 12 years of experience. MS. Susan M. Giacchino, APN NPI is 1104845833. 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:

555 W COURT ST
SUITE 108
KANKAKEE, IL
ZIP 60901-664
Phone: (815) 937-2015

The NPI 1104845833 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 7/19/2006 and was last updated on 12/13/2013.

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
1	364SC0200X	Clinical Nurse Specialist	Critical Care Medicine	209-002386	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	IL3289011	MEDICARE PIN	ILLINOIS

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: 4/28/2024

NPI Synchronization or Removal

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