Individual
SUSAN G FREBURG
Active
Individual
SUSAN G FREBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
041206933
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
J099839
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
165227
IA HEALTH SOLUTIONS
—
01
—
235860
MIDLANDS CHOICE
—
01
—
34055
WELLMARK
IA
01
—
8121085
BCBS
IL
01
—
95015
WELLMARK
IL
01
—
IA0186
JOHN DEERE FAMILY
IA
01
—
IL01C3
JOHN DEERE FAMILY
IL
01
—
P00002855
RR MEDICARE
IA
Enumeration date
01/10/2006
Last updated
03/18/2011
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