Individual
SUSANA MESCHEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 W REYNOLDS ST, PONTIAC, IL 61764-9774
(815) 842-2828
Mailing address
2500 W REYNOLDS ST, PONTIAC, IL 61764-9774
(815) 842-2828
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01082933A
IN
207P00000X
Emergency Medicine Physician
Primary
036151715
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2016
Last updated
04/03/2026
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