Individual
SUZANNE R TRUPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2109 S NEIL ST, CHAMPAIGN, IL 61820-7266
(217) 356-3736
(217) 953-0885
Mailing address
2109 S NEIL ST, CHAMPAIGN, IL 61820-7266
(217) 356-3736
(217) 953-0885
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036062169
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036062169
—
IL
01
—
1000335
BCBS
—
Enumeration date
08/24/2005
Last updated
06/02/2022
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