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Organization

SUSANNE K WOLOSON MD PHD SC

Active
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Organization

SUSANNE K WOLOSON MD PHD SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSANNE K WOLOSON M.D. (CHAIR)
(847) 577-5814
Entity
Organization

Contact information

Practice address
1614 W CENTRAL RD, SUITE 100, ARLINGTON HEIGHTS, IL 60005-2490
(847) 577-5814
Mailing address
1614 W CENTRAL RD, SUITE 100, ARLINGTON HTS, IL 60005-2490
(847) 577-5814

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—

Other

Enumeration date
07/19/2005
Last updated
09/24/2015
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