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Individual

DR. DAVID HARTSUCH

Active
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Individual

DR. DAVID HARTSUCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036106457
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036106457001
IL
05
0570028
IL
05
1570028
IL
01
99296
BCWELLMARK WEST
01
99544
BCWELLMARK 7TH
01
IL0181
JOHN DEERE ILLINOIS
Enumeration date
02/09/2006
Last updated
02/02/2023
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