Individual
DR. SUSAN S WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
304 W HAY ST, SUITE 218, DECATUR, IL 62526-6328
(217) 877-2088
(217) 877-3622
Mailing address
304 W HAY ST, SUITE 218, DECATUR, IL 62526-6328
(217) 877-2088
(217) 877-3622
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036109858
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036109858
—
IL
Enumeration date
03/03/2006
Last updated
06/17/2008
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