MEDICARE: DR. SUE BURCU ONISPIR-KAFALI 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
1	207VX0000X	Obstetrics Physician	036115863	IL

General Provider Information

NPI Number	:	1255515201
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUE BURCU ONISPIR-KAFALI MD

Provider Business Mailing Address
First Line	:	3000 N HALSTED
Second Line	:	SUITE 721
City	:	CHICAGO
State	:	IL
Zip	:	60657-6185
Country	:	US
Telephone Number	:	773-281-6333
Fax Number	:	773-472-3845

Provider Business Practice Location Address
First Line	:	3000 N HALSTED
Second Line	:	SUITE 721
City	:	CHICAGO
State	:	IL
Zip	:	60657-6185
Country	:	US
Telephone Number	:	773-281-6333
Fax Number	:	773-472-3845

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

Provider Enumeration Date	:	12/27/2007
Last Update Date	:	12/08/2011

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