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Individual
SUSAN J. COLE
Active
Individual
SUSAN J. COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-062798
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036062798
—
IL
Enumeration date
10/02/2006
Last updated
02/08/2016
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