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Individual

SUSIE RO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1000 CENTRAL ST STE 880, EVANSTON, IL 60201-1780
(847) 570-2570
(847) 657-5708
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700

Taxonomy

Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
MD00048739
WA
2084N0400X
Neurology Physician
Primary
036107977
IL
2084N0400X
Neurology Physician
4301511152
MI
2084N0400X
Neurology Physician
MD00048739
WA
2084N0600X
Clinical Neurophysiology Physician
MD00048739
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1056456
WA
Enumeration date
12/08/2006
Last updated
10/17/2025
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