MEDICARE: THEODORE J. SUCHY DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	036-064494	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568410546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THEODORE J. SUCHY DO

Provider Business Mailing Address
First Line	:	1585 N. BARRINGTON RD
Second Line	:	SUITE 101
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60169-5019
Country	:	US
Telephone Number	:	847-884-7771
Fax Number	:	847-884-0666

Provider Business Practice Location Address
First Line	:	1585 N. BARRINGTON RD
Second Line	:	SUITE 101
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60169-5019
Country	:	US
Telephone Number	:	847-884-7771
Fax Number	:	847-884-0666

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	04/13/2021

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Directions to “ THEODORE J. SUCHY DO” Practice Location

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