Individual
DR. DAVID A CUSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3231 EUCLID AVE, SUITE 201, BERWYN, IL 60402-3471
(708) 783-2055
(708) 783-2181
Mailing address
13011 S 104TH AVE STE 100, PALOS PARK, IL 60464-1508
(708) 478-3600
(708) 478-3552
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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