Provider Demographics
NPI:1528019742
Name:BUECHELE, SUSAN (RN MS PNP)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:
Last Name:BUECHELE
Suffix:
Gender:F
Credentials:RN MS PNP
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Mailing Address - Street 1:15300 WEST AVENUE
Mailing Address - Street 2:SUITE 120 S
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462
Mailing Address - Country:US
Mailing Address - Phone:708-226-2323
Mailing Address - Fax:708-226-2329
Practice Address - Street 1:15300 WEST AVENUE
Practice Address - Street 2:SUITE 120 S
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462
Practice Address - Country:US
Practice Address - Phone:708-226-2323
Practice Address - Fax:708-226-2329
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2021-11-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL209003900363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics