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Individual

SUSAN PODLOGAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
200 FOX GLEN CT, BARRINGTON, IL 60010-1809
(847) 382-7165
(847) 713-8160
Mailing address
200 FOX GLEN CT, BARRINGTON, IL 60010-1809
(847) 382-7165
(847) 713-8160

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
041268962
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F400446447
MEDICARE
IL
Enumeration date
04/25/2006
Last updated
03/17/2018
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