Individual
LONGCHENG SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
875 S ROUTE 31, CRYSTAL LAKE, IL 60014-8190
(779) 220-5500
Mailing address
29624 NETWORK PL, CHICAGO, IL 60673-1296
(608) 756-6278
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036-103793
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036103793
—
IL
Enumeration date
06/30/2006
Last updated
05/13/2025
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