| Doctor Name: | MS. SUSAN C DENEY |
| NPI Number: | 1154439099 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | A.P.N. |
| License Number: | 209-002813 |
| Business Practice Address: | 101 Waukegan Rd Suite 1200 Lake Bluff, IL - 600443012 |
| Business Phone Number: | 8472958500 |
| Business Fax Number: | 8472958501 |
| Mailing Address: | 101 Waukegan Rd, Suite 1200 LAKE BLUFF |
| State: | IL |
| Postal Code: | 600443012 |
| Phone Number: | 8472958500 |
| Fax Number: | 8472958501 |
| NPI Enumeration Date: | 08/29/2006 |
| NPI Last Update Date: | 02/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 209-002813 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |