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Mitchell Sussman, MD
Diagnostic Radiology Physician in Urbana, Illinois
NPI 1427097104

Mitchell Sussman is a Diagnostic Radiology Physician based in Urbana, IL and is specialized in Diagnostic Radiology. Mitchell Sussman practices in Urbana, IL and has the professional credentials of MD. The NPI Number for Mitchell Sussman is 1427097104 and holds a License No. 36088537 (Illinois).

The current practice location address for Mitchell Sussman is 611 W. Park St., Urbana, IL and can be reached out via phone at 217-383-3270 and via fax at 217-383-4116.

Location: 611 W. Park St., Urbana, IL, 61801-2500
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Provider Profile Details
NPI Number
1427097104
Provider Name
Mitchell Sussman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
611 W. Park St., Urbana, IL, 61801-2500
Phone Number
217-383-3270
Fax Number
217-383-4116
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036088537*3 05 IL
0533210001 01 IL DMERC
institution
Provider Business Practice Location Address Details
Address
611 W. Park St.
City
State
Zip
61801
Phone Number
217-383-3270
Fax Number
217-383-4116
person
Provider Business Mailing Address Details
Address
611 W. Park St.
City
State
Zip
61801
Phone Number
217-383-3270
Fax Number
217-383-4116
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
36088537 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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