Provider Demographics
NPI:1962459776
Name:TSAI, SUSAN C (MD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:C
Last Name:TSAI
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Gender:F
Credentials:MD
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Mailing Address - Street 1:680 N LAKE SHORE DR
Mailing Address - Street 2:SUITE 1015
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-4546
Mailing Address - Country:US
Mailing Address - Phone:312-695-8486
Mailing Address - Fax:312-695-8711
Practice Address - Street 1:675 N SAINT CLAIR ST
Practice Address - Street 2:GALTER 14-200
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-5975
Practice Address - Country:US
Practice Address - Phone:312-695-7382
Practice Address - Fax:312-695-3169
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
IL207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILI41237Medicare UPIN