Individual
JOANNE SOPHIA SUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1725 W HARRISON ST STE 1159, CHICAGO, IL 60612-3883
(312) 563-8769
Mailing address
1725 W HARRISON ST STE 1159, CHICAGO, IL 60612-3883
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036.145604
IL
207RC0000X
Cardiovascular Disease Physician
036145604
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2013
Last updated
07/26/2022
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