MEDICARE: DR. SUSAN M RHEE M.D.

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	252866-1	NY
2	207RI0200X	Infectious Disease Physician	D74419	MD

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	:	1407015852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUSAN M RHEE M.D.

Provider Business Mailing Address
First Line	:	1 N WAUKEGAN RD
Second Line	:	ABBVIE, R4NE AP34-1
City	:	NORTH CHICAGO
State	:	IL
Zip	:	60064-1802
Country	:	US
Telephone Number	:	847-937-1580
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 N WAUKEGAN RD
Second Line	:	ABBVIE, R4NE AP34-1
City	:	NORTH CHICAGO
State	:	IL
Zip	:	60064-1802
Country	:	US
Telephone Number	:	847-937-1580
Fax Number	:

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

Provider Enumeration Date	:	06/02/2008
Last Update Date	:	10/28/2014

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