MEDICARE: MENSUR O. SUNJE M.D. M.SC.

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	207R00000X	Internal Medicine Physician	036103665	IL
2	202K00000X	Phlebology Physician	036103665	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	:	1013954999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MENSUR O. SUNJE M.D. M.SC.

Provider Business Mailing Address
First Line	:	2333 W IRVING PARK RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-3838
Country	:	US
Telephone Number	:	773-506-7340
Fax Number	:	773-506-7341

Provider Business Practice Location Address
First Line	:	2333 W IRVING PARK RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-3838
Country	:	US
Telephone Number	:	773-506-7340
Fax Number	:	773-506-7341

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

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	02/18/2021

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