LAURIE SUSARCHICK · Dentist (Orthodontics and Dentofacial Orthopedics)

Address: 1435 W Walton St Unit 2, Chicago, IL 60642-5311

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).

Provider Overview

Nation Provider ID (NPI) 1376134577
Entity Type Individual
Other Name LAURIE SUSARCHICK (Former Name)
Gender Female
Credential DDS MS
Practice Address 1435 W Walton St Unit 2
IL 60642-5311
Practice Telephone 5514861883
Mailing Address 1435 W Walton St Unit 2
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

Office Location

Street Address 1435 W WALTON ST UNIT 2
State IL
Zip Code 60642-5311

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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
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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
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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Zip Code 60642

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Dataset Information

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.