| Dr Christopher Dean Suhre, MD | |
|
2 Terminal Dr, Suite 8, East Alton, IL 62024-2201 | |
| (618) 259-1419 | |
| (618) 259-1502 |
| Full Name | Dr Christopher Dean Suhre |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 2 Terminal Dr, East Alton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255350252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036115801 (Illinois) | Primary |
| Entity Name | Southern Illinois Healthcare Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609813500 PECOS PAC ID: 1456256874 Enrollment ID: O20031126000641 |
| Entity Name | Granite City Hospitalist Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669926424 PECOS PAC ID: 8527356591 Enrollment ID: O20161006000282 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christopher Dean Suhre, MD 2 Terminal Dr, Suite 8, East Alton, IL 62024-2201 Ph: (618) 259-1419 | Dr Christopher Dean Suhre, MD 2 Terminal Dr, Suite 8, East Alton, IL 62024-2201 Ph: (618) 259-1419 |
Dr. Fei-tung Leu, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2 Terminal Dr, Suite 8, East Alton, IL 62024 Phone: 618-259-1419 Fax: 618-259-1502 | |
Anupama Vallala, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2 Terminal Dr, Suite 8, East Alton, IL 62024 Phone: 618-259-1419 Fax: 618-259-1502 | |
Dr. Uraiwan Tana Hompluem, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2 Terminal Dr, Suite 8, East Alton, IL 62024 Phone: 618-259-1419 Fax: 618-259-1502 |