Provider Demographics
NPI:1184967747
Name:ALFANO, SUZANNE FOX (MD)
Entity type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:FOX
Last Name:ALFANO
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1430 N ARLINGTON HTS RD.
Mailing Address - Street 2:SUITE 210
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-4825
Mailing Address - Country:US
Mailing Address - Phone:847-253-3600
Mailing Address - Fax:847-253-3912
Practice Address - Street 1:NORTH ARLINGTON PEDIATRICS, SC
Practice Address - Street 2:1430 N ARLINGTON HEIGHTS RD, SUITE 210
Practice Address - City:ARLINGTON HTS.
Practice Address - State:IL
Practice Address - Zip Code:60004-4825
Practice Address - Country:US
Practice Address - Phone:847-253-3600
Practice Address - Fax:847-253-3912
Is Sole Proprietor?:No
Enumeration Date:2013-04-02
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036-140025208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics