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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MITCHELL SUSSMAN, MD

Active

MITCHELL SUSSMAN, MD is a Diagnostic Radiology healthcare provider located in URBANA, Illinois. NPI 1427097104 is currently active in the NPPES registry. Verify at CMS.

Diagnostic Radiology · URBANA, IL

Registration Details

NPI Number
1427097104
Provider Type
Individual
Gender
Male
NPI Issued
Jun 6, 2006 (20.198236411161 yrs)
Last Updated
May 14, 2014
Licenses
36088537 (IL)
036088537 (IL)

Practice Information

Address
611 W. PARK ST.
RADIOLOGY
URBANA, IL, 61801
Browse IL providers · Browse ZIP 61801
Phone
2173833270
Fax
2173834116
Primary Specialty
Diagnostic Radiology
2085R0202X
Additional Specialty
Diagnostic Radiology

Other Diagnostic Radiology Providers in URBANA, IL

Name Credential NPI
MARSHALL BLAKE HAY MD 1780683391
MARTIN KUNTZ III MD 1346220522
ELIZABETH KUNTZ MD 1982677159
DOUGLAS W MORTON M.D. 1134143555
STEPHANIE K WEBER MD 1205992112
DEAN L HOFFMEISTER MD 1346441805
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.