Individual
NICHOLAS RICHARD SUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5841 S MARYLAND AVE # MC6040, CHICAGO, IL 60637-1443
(773) 702-6337
(773) 602-2140
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125077750
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/05/2020
Last updated
05/04/2021
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