Provider Demographics
NPI:1881755684
Name:MARANTZ, SUSAN G (MD)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:G
Last Name:MARANTZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7556 JACKSON BLVD
Mailing Address - Street 2:
Mailing Address - City:FOREST PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60130-1854
Mailing Address - Country:US
Mailing Address - Phone:708-467-5000
Mailing Address - Fax:708-467-1963
Practice Address - Street 1:7556 JACKSON BLVD
Practice Address - Street 2:
Practice Address - City:FOREST PARK
Practice Address - State:IL
Practice Address - Zip Code:60130-1854
Practice Address - Country:US
Practice Address - Phone:708-467-5000
Practice Address - Fax:708-467-1963
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2021-12-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036-083808207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease