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Individual

DR. ATTAPOOM SUSUPAUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
201 EAST HURON ST, GALTER PAVILLION 11-140, CHICAGO, IL 60611-2968
(312) 695-3662
Mailing address
355 E OHIO ST UNIT 3504, CHICAGO, IL 60611-5653
(312) 927-5567

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
125060733
IL

Other

Enumeration date
03/02/2012
Last updated
03/02/2012
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