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Individual
DR. SUSAN LOUISE ALT
Active
Individual
DR. SUSAN LOUISE ALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-107356
IL
207R00000X
Internal Medicine Physician
036107356
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-107356
STAE LICENSE /MEDICAID
IL
Enumeration date
05/19/2006
Last updated
05/28/2025
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