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NPI Code Detail

MEDICARE: MARC A ZUSSMAN MD

MEDICARE: MARC A ZUSSMAN MD
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
1207X00000XOrthopaedic Surgery Physician036091603IL

Other Identifiers

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

General Provider Information

NPI Number : 1255327326
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARC A ZUSSMAN MD
Provider Business Mailing Address
First Line : PO BOX 735263
Second Line :
City : CHICAGO
State : IL
Zip : 60673-5263
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 324 ROXBURY RD
Second Line :
City : ROCKFORD
State : IL
Zip : 61107-5090
Country : US
Telephone Number : 815-398-9491
Fax Number : 815-381-7498
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2005
Last Update Date : 09/07/2023

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Directions to “ MARC A ZUSSMAN MD” Practice Location

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