| Doctor Name: | SUSAN M PHELAN |
| NPI Number: | 1063813194 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | REGISTERED NURSE |
| License Number: | 041305029 |
| Business Practice Address: | 299 N Maple Ave Wood Dale, IL - 601911512 |
| Business Phone Number: | 7735190896 |
| Business Fax Number: | |
| Mailing Address: | 1010 N Hooker St, CHICAGO |
| State: | IL |
| Postal Code: | 606424549 |
| Phone Number: | 3129433600 |
| Fax Number: | 8664109192 |
| NPI Enumeration Date: | 09/08/2014 |
| NPI Last Update Date: | 09/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | 041305029 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |