| Suzanne M Greider,md | |
|
800 Austin St 311 West Evanston IL 60202-3439 | |
| (847) 869-5480 | |
| (847) 869-5487 |
| Full Name | Suzanne M Greider,md |
|---|---|
| Speciality | Internal Medicine |
| Location | 800 Austin St, Evanston, Illinois |
| Authorized Official Name and Position | Suzanne M Greider (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8478695480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suzanne M Greider,md 800 Austin St 311 West Evanston IL 60202-3439 Ph: (847) 869-5480 | Suzanne M Greider,md 800 Austin St 311 West Evanston IL 60202-3439 Ph: (847) 869-5480 |
| NPI Number | 1447390653 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 07/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447390653 | NPI | - | NPPES |
| 036065627 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036065627 (Illinois) | Primary |
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