Individual
SUSAN M BAGDADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4440 W 95TH ST STE 183, OAK LAWN, IL 60453-2600
(708) 684-4393
(708) 684-3049
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.027410
IL
363LF0000X
Family Nurse Practitioner
209.027410
IL
Other
Enumeration date
06/22/2023
Last updated
02/19/2026
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