Individual
SUSAN TAKACS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
737 N MICHIGAN AVE STE 950, CHICAGO, IL 60611-6659
(312) 751-7515
(312) 751-1208
Mailing address
737 N MICHIGAN AVE STE 950, CHICAGO, IL 60611-6659
(312) 751-7515
(312) 751-1208
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
041249572
IL
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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