# SUSAN G VIERLING

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1306825930
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036091886 | IL | Yes |

## Other

- **Enumeration date:** 01/12/2006
- **Last updated:** 12/21/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0031600193 | BLUE SHIELD | IL |
| 05 | — | 036091886 | — | IL |
| 01 | — | K1444 | MEDICARE PROVIDER NUMBER | IL |
| 01 | — | P00251102 | RAILROAD MEDICARE | IL |