Organization
SUSAN J ACCARDI MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN J ACCARDI M D (PRESIDENT)
(312) 855-0208
Entity
Organization
Contact information
Practice address
25 E WASHINGTON ST, SUITE 1464, CHICAGO, IL 60602-1708
(312) 855-0208
(312) 230-0300
Mailing address
25 E WASHINGTON ST, SUITE 1464, CHICAGO, IL 60602-1708
(312) 855-0208
(312) 230-0300
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036054322
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021607345
BLUE CROSS
IL
05
—
036054322
—
IL
Enumeration date
07/08/2008
Last updated
12/10/2013
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