LAURIE SUSARCHICK-STACHE (NPI# 1376134577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376134577 |
| Entity Type | Individual |
| Full Name | DR. LAURIE SUSARCHICK-STACHE |
| Other Name | LAURIE SUSARCHICK (Former Name) |
| Gender | Female |
| Credential | DDS MS |
| Practice Address | 1435 W Walton St Unit 2 Chicago IL 60642-5311 |
| Practice Telephone | 5514861883 |
| Mailing Address | 1435 W Walton St Unit 2 Chicago IL 60642-5311 |
| Mailing Telephone | 5514861883 |
| Certification Date | 2021-01-30 |
| Enumeration Date | 2021-01-30 |
| Last Update Date | 2021-01-30 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 1223X0400X | Dentist Specialization: Orthodontics and Dentofacial Orthopedics | 193400000X SINGLE SPECIALTY GROUP | 019032057 | IL | Dental Providers |
| Street Address | 1435 W WALTON ST UNIT 2 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60642-5311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134612542 | Lauren Gregorcy | Social Worker · Clinical | 939 W. North Avenue, Suite 750, Chicago, Illinois, 6064, Office 720, Chicago, IL 60642 | 2018-06-11 |
| 1811409030 | Athletico Ltd · Athletico Physical Therapy | Physical Therapist | 819 W Blackhawk St, Ste 819b, Chicago, IL 60642 | 2017-10-27 |
| 1346759693 | Rachel Sherron | Counselor · Professional | 938 N Elston, #1, Chicago, IL 60642 | 2017-09-28 |
| 1639612831 | Empathic Resonance, LLC | Clinic/Center · Mental Health (Including Community Mental Health Center) | 939 W North Ave Suite 750, Office 721, Chicago, IL 60642 | 2016-11-21 |
| 1053867317 | D Jamieson Brady | Dentist | 1249 N Greenview Ave Apt 1, Chicago, IL 60642 | 2016-08-28 |
| 1548646508 | Kathryn Lee | Massage Therapist | 742 N Ada St, Unit 1, Chicago, IL 60642 | 2015-07-31 |
| 1497149694 | Neda Bahrani | Family Medicine | 1460 N Halsted St Ste 401, Chicago, IL 60642 | 2015-03-25 |
| 1326439431 | Sarah Perez | Counselor · Professional | 1332 N. Cleaver St, Apt. 2rr, Chicago, IL 60642 | 2015-02-11 |
| 1780097105 | Michael Sotiriou | Dermatology | 1765 N Elston Ave Ste 110, Chicago, IL 60642 | 2014-06-03 |
| 1285067876 | Tyler Pere Choate | Speech-Language Pathologist | 400 N. May Street, Chicago, IL 60642 | 2013-08-19 |
| Find all providers in zip 60642 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417559675 | Lincoln Square Orthodontics | 4352 N Leavitt St, Chicago, IL 60618-3473 | 2020-11-12 | |
| 1427670421 | Braces By Barnes | 1335 E 87th St Ste B, Chicago, IL 60619-7036 | 2020-05-12 | |
| 1922645308 | Riddhi J Desai Dmd Pllc | 727 W Madison St Apt 1208, Chicago, IL 60661-2409 | 2019-12-04 | |
| 1346806577 | Pulaski Smiling Dental P.C. | 5540 S Pulaski Rd Fl 1, Chicago, IL 60629-4418 | 2019-05-13 | |
| 1750944252 | Candid Illinois, Pllc | 750 N Franklin St Fl Stc2, Chicago, IL 60654-6263 | 2019-04-19 | |
| 1407314610 | Orthodontic Experts Ltd | 3339 W Belmont Ave, Chicago, IL 60618-5518 | 2019-03-06 | |
| 1669938387 | Theresa Karras | 11 E Cedar St, Floor 2, Chicago, IL 60611-6066 | 2019-02-19 | |
| 1396235651 | Love My Smile Chicago, LLC | 2112 N Clybourn Ave Unit B, Chicago, IL 60614-0800 | 2018-05-12 | |
| 1013414655 | Flavio Jose Castelli Sanchez | 801 S Paulina St Rm 131, Chicago, IL 60612-7210 | 2018-04-10 | |
| 1437659570 | John C Ford | 225 E Chicago Ave # 75, Chicago, IL 60611-2991 | 2018-02-15 | |
| Find all providers in CHICAGO | ||||
| City | CHICAGO |
| Zip Code | 60642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184254161 | Monika Stache | Speech-Language Pathologist | 222 Moultrie St, San Francisco, CA 94110-5617 | 2020-01-18 |
| 1710326913 | Michelle B Stache | Physical Therapy Assistant | 1335 S Oneida St, Appleton, WI 54915-1351 | 2013-06-20 |
| 1669085338 | Derek Stache | Behavior Technician | 851 Bowsprit Rd, Chula Vista, CA 91914-4529 | 2020-08-24 |
| 1063835288 | Allsion R Stache | Nurse Practitioner | 1516 S Commercial St, Neenah, WI 54956-4802 | 2014-01-23 |
| 1871649327 | Kristen M Stache | Dietitian, Registered | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2007-01-26 |
| 1912209925 | Jeffrey W Stache | Counselor · Professional | 1200 Christopher Ct, Oconomowoc, WI 53066-2321 | 2010-11-23 |
| 1649761412 | Josephine Stache I | Occupational Therapy Assistant | 3136 S 95th St, Milwaukee, WI 53227-4323 | 2018-05-28 |
| 1750524757 | Stephen Andrew Stache Jr. | Family Medicine · Sports Medicine | 925 Chestnut St, Fifth Floor, Philadelphia, PA 19107-4216 | 2009-04-07 |
| 1982073805 | Mark Stache | Registered Nurse | 3075 Orchard Vista Dr Se, Grand Rapids, MI 49546-7069 | 2015-09-21 |
| 1851740518 | Rutger Wolfgang Stache | Dentist | 8301 S Holland Rd, Suite B, Chicago, IL 60620-1303 | 2016-06-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.