Individual
BARBARA SANTUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1653 W CONGRESS PKWY, 770 JONES, CHICAGO, IL 60612-3833
(312) 942-6003
(312) 942-5360
Mailing address
1653 W CONGRESS PKWY, 770 JONES, CHICAGO, IL 60612-3833
(312) 942-6003
(312) 942-5360
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
36040091
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633268
BCBS
IL
05
—
0360400911
—
IL
Enumeration date
12/15/2006
Last updated
09/26/2011
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