Individual
SUZANNE MARIE DIBATTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1645 W JACKSON BLVD STE 200, CHICAGO, IL 60612-3227
(312) 942-2200
Mailing address
885 ROOSEVELT RD STE 202, GLEN ELLYN, IL 60137-6141
(630) 790-1555
(630) 545-3781
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036.159318
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/08/2019
Last updated
03/26/2025
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