Individual
DR. SUSAN F SIROTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
767 PARK AVE W, SUITE 230, HIGHLAND PARK, IL 60035-2400
(847) 681-7100
(847) 681-7110
Mailing address
900 N WESTMORELAND RD, SUITE 217, LAKE FOREST, IL 60045-1674
(847) 482-0273
(847) 615-1708
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036085493
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4919303
BCBS
IL
Enumeration date
01/23/2006
Last updated
01/08/2013
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