Individual
DR. MARIA DANA SUTKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 E COUNTYLINE RD, SANDWICH, IL 60548-2178
(815) 786-2722
(815) 786-6840
Mailing address
1 E COUNTYLINE RD, SANDWICH, IL 60548-2178
(815) 786-2722
(815) 786-6840
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036082471
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036082471
—
IL
01
—
19621614
BC/BS
IL
Enumeration date
08/29/2005
Last updated
03/08/2021
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