Susan Shapiro Braithwaite M.D.

NPI 1093793937 - Internal Medicine - 207R00000X

NPI Details
NPI 1093793937
Gender Female
Enumeration Date 12/31/2005
Last Updated 03/01/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
3048 W PETERSON AVE
CHICAGO IL, 60659-3720, US
Phone (773) 381-0517
Fax (773) 381-0617
Business Location
1135 RIDGE RD
WILMETTE IL, 60091-1567, US
Phone (847) 906-4910
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 036-043292
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According to our database, Dr. Susan Shapiro Braithwaite M.D. NPI is 1093793937, taxonomy code is 207R00000X and license number is 036-043292, license state is located at Illinois. Susan Shapiro Braithwaite M.D. physically located at 3048 W Peterson Ave, Chicago IL, 60659-3720. NPI Number Susan Shapiro Braithwaite M.D. has the Individual type.

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1093793937 NPI number is provided on an as is basis without warranty of any kind. 1093793937 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Shapiro Braithwaite M.D. are for informational purposes only.