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NPI Code Detail

MEDICARE: DR. SUSAN HELEN MCDUNN MD

MEDICARE: DR. SUSAN HELEN MCDUNN 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
1207RX0202XMedical Oncology Physician036-07-4891IL

General Provider Information

NPI Number : 1821002098
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUSAN HELEN MCDUNN MD
Provider Business Mailing Address
First Line : 1900 W POLK ST
Second Line : CCSN 764
City : CHICAGO
State : IL
Zip : 60612-3723
Country : US
Telephone Number : 312-864-7250
Fax Number : 312-864-9002
Provider Business Practice Location Address
First Line : 1901 W HARRISON ST
Second Line : JOHN STROGER HOSPITAL
City : CHICAGO
State : IL
Zip : 60612-3714
Country : US
Telephone Number : 312-864-7250
Fax Number : 312-864-9002
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 04/26/2013

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