Susanne S Radivojevic in Chicago - General Practice
Susanne S Radivojevic - NPI 1417035569
Susanne S Radivojevic is a General Practice in Chicago, Illinois. Susanne S Radivojevic practices all healthcare services and medical treatments related to General Practice. The NPI Number for Susanne S Radivojevic is 1417035569. The last update date is 2007-07-08.
Susanne S Radivojevic's current location address is 1945 W Wilson Ave, Chicago, Illinois. You can contact this provider via phone number 7732758855 and fax number 7732758822. The mailing address for Susanne S Radivojevic is 1945 W Wilson Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susanne S Radivojevic |
|---|---|
| Address | 1945 W Wilson Ave, Chicago, Illinois |
| Phone Number | 7732758855 |
| Fax Number | 7732758822 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1417035569 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1945 W Wilson Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606405255 |
| Phone Number | 7732758855 |
| Fax Number | 7732758822 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Post Comment/ Review Below
What is the unique identifier code issued to Susanne S Radivojevic by the Centers for Medicare & Medicaid Services (CMS)?
The Susanne S Radivojevic has been assigned the NPI (National Provider Identifier) 1417035569. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Susanne S Radivojevic is geographically located?
The Susanne S Radivojevic is physically situated at the following location: 1945 W Wilson Ave, Chicago, IL, 606405255.
What is Susanne S Radivojevic's specialized field of practice, and what is the corresponding taxonomy classification code?
The Susanne S Radivojevic's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Susanne S Radivojevic receive the assignment of its 1417035569 from the Centers for Medicare & Medicaid Services?
The Susanne S Radivojevic was issued its 1417035569 by the Centers for Medicare & Medicaid Services on 2006-11-02.
As of what date was the information regarding Susanne S Radivojevic, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Susanne S Radivojevic, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY