Individual
DR. SUE JANE VOLARICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
611 N 6TH ST, SPRINGFIELD, IL 62702-5327
(217) 544-2149
(217) 544-9553
Mailing address
111 OAKWOOD RD, EAST PEORIA, IL 61611-1853
(097) 404-2723
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036090359
IL
2085R0204X
Vascular & Interventional Radiology Physician
036090359
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00307171
RR MEDICARE
IL
01
—
P00324250
RR MEDICARE
IL
Enumeration date
05/11/2006
Last updated
02/26/2024
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