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Physician Compare National (NPI:1356374482)

HEALTHCARE PROVIDER: SUSAN MARIE KAUFMAN D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1356374482
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4789691080
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20060310000619
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name KAUFMAN
Individual professional last name
Provider First Name SUSAN
Individual professional first name
Provider Middle Name MARIE
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.
Provider Credential Text DC
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Individual professional's medical school
Graduation Year 1995
Individual professional's medical school graduation year
Primary Specialty CHIROPRACTIC
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 109 N TREMONT ST
Group Practice or individual's line 1 address
City KEWANEE
Group Practice or individual's city
State IL
Group Practice or individual's state
Zip Code 614432231
Group Practice or individual's zip code (9 digits when available)
Phone Number 3098546666
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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