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Contact Information

SUSAN J BIGHAM, CNP
360 STATION DR
CRYSTAL LAKE, IL60014
 Phone: 815-338-6600
 Fax: 815-455-8044
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for SUSAN J BIGHAM · (Female)

NPI Number 1518383264
Status Active
Credentials CNP (Certified Nurse Practitioner)
Entity Individual
Enumeration date 03/05/2014
Last updated 12/26/2018 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 041.353295
  • IL License # 209011436
  • IL Other 209011436 STATE LICENSE
Hospital affiliation(s)
  • ST MARY MEDICAL CENTER INC - (Acute Care)
    1500 S LAKE PARK AVE
    HOBART, IN 46342
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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