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Search › Illinois › 1744R1102X

Glen Sussman

NPI 1053734830 · on the registry since 2014

Practice

Address
233 E Erie St
Suite 203
Chicago, IL 60611
Phone
(312) 988-4500
Fax
(312) 988-9267
Organisation at this address
Gema
Millenova
Anc Counseling
Ioanna K Chaney
East Erie Dental
Inferred from a shared address, not stated in the registry.
Clinicians at this address
60

Registry record

Primary taxonomy
1744R1102X
1744R1102X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-01-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois