| Susan K Burrowes Md Llc | |
|
1600 Dempster St Ste 120 Park Ridge IL 60068-1171 | |
| (847) 299-7888 | |
| Not Available |
| Full Name | Susan K Burrowes Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1600 Dempster St Ste 120, Park Ridge, Illinois |
| Authorized Official Name and Position | Susan K Burrowes (PRESIDENT) |
| Authorized Official Contact | 8472997888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan K Burrowes Md Llc 1600 Dempster St Ste 120 Park Ridge IL 60068-1171 Ph: (847) 299-7888 | Susan K Burrowes Md Llc 1600 Dempster St Ste 120 Park Ridge IL 60068-1171 Ph: (847) 299-7888 |
| NPI Number | 1497083430 |
|---|---|
| Provider Enumeration Date | 12/03/2009 |
| Last Update Date | 05/12/2010 |
| Medicare PECOS PAC ID | 7315130358 |
|---|---|
| Medicare Enrollment ID | O20101021001319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497083430 | NPI | - | NPPES |
| 036072577 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036072577 (Illinois) | Primary |
| Provider Name | Susan K Burrowes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851389266 PECOS PAC ID: 6608898630 Enrollment ID: I20051219000829 |
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