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Individual
SUSIE OHR
Active
Individual
SUSIE OHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036093614
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036093614
STATE LICENSE
IL
Enumeration date
11/21/2006
Last updated
10/06/2020
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