Individual provider · Type 1 NPI
Susan Chacko Matthew, ND APN FNP
Family Nurse Practitioner · Chicago, IL
NPI number
1417169095
Active
Practice location
111 W Jackson Blvd Ste 1700
Chicago, IL 60604-3597
Other practice locations
- 500 Remington Blvd, Bolingbrook, IL 60440-4906 · (630) 312-6304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 209002419 (IL) |
| Family Nurse Practitioner Primary | 363LF0000X | 209002419 (IL) |
| Nurse Practitioner | 363L00000X | 209002419 (IL) |
| Registered Nurse | 163W00000X | 41285306 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1417169095
Susan Chacko Matthew, ND APN FNP's National Provider Identifier is 1417169095, issued on May 4, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicago, IL. The record was last updated on Feb 24, 2026.