Provider Demographics
NPI:1851426613
Name:BUDDS, SUSAN CATHERINE (RN, MSN, APN)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:CATHERINE
Last Name:BUDDS
Suffix:
Gender:F
Credentials:RN, MSN, APN
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Mailing Address - Street 1:27555 DIEHL RD
Mailing Address - Street 2:ENTRANCE B
Mailing Address - City:WARRENVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60555-3849
Mailing Address - Country:US
Mailing Address - Phone:630-646-3884
Mailing Address - Fax:630-548-0276
Practice Address - Street 1:120 SPALDING DR STE 111
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6766
Practice Address - Country:US
Practice Address - Phone:630-527-3788
Practice Address - Fax:630-646-6071
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2018-02-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL209002966364SX0200X
IL209-009576363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No364SX0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistOncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK39145Medicare PIN
ILK39146Medicare PIN
ILK45676Medicare PIN