Individual
DR. FAITH SUZANNE MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
15900 W 127TH ST, SUITE 261, LEMONT, IL 60439
(630) 243-7683
(630) 243-8184
Mailing address
15900 W 127TH ST, SUITE 261, LEMONT, IL 60439
(630) 243-7683
(630) 243-8184
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036100053
IL
208000000X
Pediatrics Physician
336060386
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036100053
—
IL
05
—
36100053
—
IL
Enumeration date
10/16/2006
Last updated
03/16/2011
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