Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SERGEY SHUSHUNOV, MD
ActiveSERGEY SHUSHUNOV, MD is a Pediatric Critical Care Medicine healthcare provider located in SAINT ANNE, Illinois. NPI 1588632681 is currently active in the NPPES registry. Verify at CMS.
Pediatric Critical Care Medicine · SAINT ANNE, IL
Registration Details
- NPI Number
- 1588632681
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 14, 2006 (20.396188537498 yrs)
- Last Updated
- Aug 22, 2023
- Licenses
-
036070073 (IL)036070073 (IL)
Practice Information
- Address
-
135 W STATION STSAINT ANNE, IL, 609647251Browse IL providers · Browse ZIP 60964
- Phone
- 8154271324
- Primary Specialty
-
Pediatric Critical Care Medicine
2080P0203X
- Additional Specialty
- Pediatric Critical Care Medicine
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.