| Doctor Name: | SUSAN C WINTERBAUER |
| NPI Number: | 1073816013 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 209008394 |
| Business Practice Address: | 9951 Rock Cut Crossing Osf Medical Group-rock Cut Loves Park, IL - 61111 |
| Business Phone Number: | 8156398450 |
| Business Fax Number: | 8156398451 |
| Mailing Address: | 9951 Rock Cut Crossing, Osf Medical Group-rock Cut LOVES PARK |
| State: | IL |
| Postal Code: | 61111 |
| Phone Number: | 8156398450 |
| Fax Number: | 8156398451 |
| NPI Enumeration Date: | 12/14/2010 |
| NPI Last Update Date: | 12/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 209008394 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |