# SUSANNE K WOLOSON MD PHD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952300303
- **Authorized official:** SUSANNE K WOLOSON M.D. (CHAIR)
- **Authorized official phone:** (847) 577-5814

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/19/2005
- **Last updated:** 09/24/2015