Healthcare Provider Details

I. General information

NPI: 1316100944
Provider Name (Legal Business Name): MAUREEN NATALIE SUTER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2008
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 N. LASALLE DR SUITE 100
CHICAGO IL
60654
US

IV. Provider business mailing address

1 EMBARCADERO CTR STE 1900
SAN FRANCISCO CA
94111-3723
US

V. Phone/Fax

Practice location:
  • Phone: 312-219-2230
  • Fax: 312-219-2239
Mailing address:
  • Phone: 415-658-6791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036139286
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: