Individual
SUZANNE IWAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 503-8144
Mailing address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 503-8144
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
036149041
IL
Other
Enumeration date
03/29/2016
Last updated
06/07/2021
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