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Individual

SUSAN ELIZABETH TUCKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
301 E WENDOVER AVE STE 311, GREENSBORO, NC 27401-1210
(336) 272-6161
Mailing address
2001 N GARY AVE STE 240, WHEATON, IL 60187-3055
(630) 416-4501
(630) 416-4504

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036.137.392
IL
2080P0205X
Pediatric Endocrinology Physician
036.137392
IL
2080P0205X
Pediatric Endocrinology Physician
Primary
2025-03456
NC
2080P0205X
Pediatric Endocrinology Physician
3305
WI

Other

Enumeration date
05/15/2012
Last updated
10/08/2025
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