Individual
SUSAN PALASIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225 E CHICAGO AVE # 9, CHICAGO, IL 60611-2991
(312) 227-4500
Mailing address
225 E CHICAGO AVE # 9, CHICAGO, IL 60611-2991
(312) 227-4500
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
036149398
IL
2085P0229X
Pediatric Radiology Physician
Primary
036149398
IL
2085R0202X
Diagnostic Radiology Physician
036149398
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000809421
—
GA
Enumeration date
02/13/2006
Last updated
06/27/2019
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