Search › Illinois › 213E00000X
Susan Kapustka, DPM
NPI 1184982530 · on the registry since 2012 · sole proprietor
Practice
- Address
- 9711 S Muirfield Dr
Village Of Lakewood, IL 60014 - Phone
- (815) 455-8090
Registry record
- Primary taxonomy
- 213E00000X
213E00000X
- Also registered as
- 213EP1101X
213ES0131X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-04-23
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