Individual
SUADA N SPIRTOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
40 SHUMAN BLVD, NAPERVILLE, IL 60563-8446
(312) 671-5000
Mailing address
900 N KINGSBURY ST, STE 825, CHICAGO, IL 60610-7432
(312) 671-5000
(312) 337-9902
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036-108247
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
036108247
IL
207Q00000X
Family Medicine Physician
036108247
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01638884
BLUE CROSS AND BLUE SHIELD
IL
05
—
036108247
—
IL
01
—
P00618465
MEDICARE RAILROAD
IL
Enumeration date
10/05/2006
Last updated
03/12/2009
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