Healthcare Provider Details

I. General information

NPI: 1609700814
Provider Name (Legal Business Name): SUZANNE ALANIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 APPLE CREEK LN
DES PLAINES IL
60016-6717
US

IV. Provider business mailing address

709 W MILBURN AVE
MOUNT PROSPECT IL
60056-3044
US

V. Phone/Fax

Practice location:
  • Phone: 773-310-2383
  • Fax:
Mailing address:
  • Phone: 773-474-6705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041446106
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: