Individual
SAMUEL SUSKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 N 1ST ST, SPRINGFIELD, IL 62781-0001
(217) 788-3156
Mailing address
701 N 1ST ST, SPRINGFIELD, IL 62781-0001
(217) 788-3156
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
06/04/2025
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