Organization
HADA COSMETIC MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE R TRUPIN M.D (CEO)
(217) 693-4400
Entity
Organization
Contact information
Practice address
1 E MAIN ST, CHAMPAIGN, IL 61820-3654
(217) 693-4400
(217) 356-5849
Mailing address
1 E MAIN ST, CHAMPAIGN, IL 61820-3654
(217) 693-4400
(217) 356-5849
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
IL
Other
Enumeration date
01/12/2007
Last updated
08/22/2020
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