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Organization
SUSANA SALCEDO MD LLC
Active
Organization
SUSANA SALCEDO MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSANA SALCEDO MD (PRESIDENT)
(847) 299-7784
Entity
Organization
Contact information
Practice address
1600 W DEMPSTER ST STE 120, PARK RIDGE, IL 60068-1171
(847) 299-7784
Mailing address
1600 W DEMPSTER ST STE 120, PARK RIDGE, IL 60068-1171
(847) 299-7784
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036120503
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036120503
—
IL
Enumeration date
01/27/2011
Last updated
03/24/2011
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