MEDICARE: SUSAN CARMODY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician		IL

General Provider Information

NPI Number	:	1841390481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN CARMODY

Provider Business Mailing Address
First Line	:	1505 EASTLAND DR
Second Line	:
City	:	BLOOMINGTON
State	:	IL
Zip	:	61701-3534
Country	:	US
Telephone Number	:	309-663-2100
Fax Number	:	309-663-8322

Provider Business Practice Location Address
First Line	:	1505 EASTLAND DR
Second Line	:
City	:	BLOOMINGTON
State	:	IL
Zip	:	61701-3534
Country	:	US
Telephone Number	:	309-663-2100
Fax Number	:	309-663-8322

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1407544992 — ABIGAIL FRANCES COLLINS RN, APRN, FNP-C
Practice Location Address:

1505 EASTLAND DR
BLOOMINGTON, IL
61701-3534

Practice Phone: 309-661-6000
Practice Fax:

1336142017 — DR. YOGESH K AGARWAL MD
Practice Location Address:

1505 EASTLAND DR , STE 330
BLOOMINGTON, IL
61701-3534

Practice Phone: 309-663-9800
Practice Fax:

1043217771 — NORD OBSTETRICS AND GYNECOLOGY, SC
Practice Location Address:

1505 EASTLAND DR , #230
BLOOMINGTON, IL
61701-3534

Practice Phone: 309-663-8888
Practice Fax: 309-663-9544

1174521074 — DR. JEFFREY SCOTT POULTER M.D.
Practice Location Address:

1505 EASTLAND DR , STE 350
BLOOMINGTON, IL
61701-3534

Practice Phone: 309-663-1222
Practice Fax: 309-663-0580

1730175712 — MARCELLA A. LINDSTROM APRN, CNP
Practice Location Address:

1505 EASTLAND DR
BLOOMINGTON, IL
61701-3534

Practice Phone: 309-665-4040
Practice Fax: 309-664-3350

1215923065 — KISHORE M KARAMCHANDANI M.D.
Practice Location Address:

1505 EASTLAND DR , SUITE 320
BLOOMINGTON, IL
61701-3534

Practice Phone: 309-661-2368
Practice Fax: 309-662-9709

1699751289 — EASTLAND MEDICAL PLAZA SURGICENTER, LLC
Practice Location Address:

1505 EASTLAND DR
BLOOMINGTON, IL
61701-3534

Practice Phone: 309-663-1997
Practice Fax: 309-662-9527

Directions to “ SUSAN CARMODY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.