| Susana Salcedo Md Llc | |
|
1600 W Dempster St Ste 120 Park Ridge IL 60068-1171 | |
| (847) 299-7784 | |
| Not Available |
| Full Name | Susana Salcedo Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1600 W Dempster St Ste 120, Park Ridge, Illinois |
| Authorized Official Name and Position | Susana Salcedo (PRESIDENT) |
| Authorized Official Contact | 8472997784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susana Salcedo Md Llc 1600 W Dempster St Ste 120 Park Ridge IL 60068-1171 Ph: (847) 299-7784 | Susana Salcedo Md Llc 1600 W Dempster St Ste 120 Park Ridge IL 60068-1171 Ph: (847) 299-7784 |
| NPI Number | 1366748097 |
|---|---|
| Provider Enumeration Date | 01/27/2011 |
| Last Update Date | 03/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366748097 | NPI | - | NPPES |
| 036120503 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036120503 (Illinois) | Primary |
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