Individual
DR. DAVID A CUSICK
Active
Individual
DR. DAVID A CUSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036084799
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621208
BLUECROSS BLUE SHIELD
IL
05
—
036084799
—
IL
01
—
060042343
RAILROAD MEDICARE COOK
IL
01
—
060053215
RAILROAD MEDICARE WILL
IL
01
—
060056549
RAILROAD MEDICARE KANKAKE
IL
01
—
1508810086
GROUP NPI
IL
01
—
236550
MEDICARE GROUP PTAN
IL
01
—
236551
MEDICARE GROUP PTAN
IL
01
—
416810
MEDICARE GROUP PTAN
IL
01
—
CD8033
RAILROAD MEDICARE GROUP PTAN NUMBER
IL
01
—
CG1672
RAILROAD MEDICARE GROUP PTAN NUMBER
IL
01
—
CN2703
RAILROAD MEDICARE GROUP PTAN NUMBER
IL
01
—
L57370
MEDICARE INDIVIDUAL PTAN
IL
01
—
L68227
MEDICARE INDIVIDUAL PTAN
IL
01
—
L70143
MEDICARE INDIVIDUAL PTAN
IL
Enumeration date
04/12/2006
Last updated
09/04/2020
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