| Doctor Name: | MS. SUSAN M. GIACCHINO |
| NPI Number: | 1104845833 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 209-002386 |
| Business Practice Address: | 555 W Court St Suite 108 Kankakee, IL - 609013664 |
| Business Phone Number: | 8159372015 |
| Business Fax Number: | |
| Mailing Address: | 901 Mcclintock Dr, Suite 202 BURR RIDGE |
| State: | IL |
| Postal Code: | 605270871 |
| Phone Number: | 8882206432 |
| Fax Number: | 6306544253 |
| NPI Enumeration Date: | 07/19/2006 |
| NPI Last Update Date: | 12/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SC0200X |
| License Number: | 209-002386 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Critical Care Medicine |
| Taxonomy Definition: | |