| Dr Susan G Marantz, MD | |
|
7556 Jackson Blvd, Forest Park, IL 60130-1854 | |
| (708) 467-5000 | |
| (708) 467-1963 |
| Full Name | Dr Susan G Marantz |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 7556 Jackson Blvd, Forest Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881755684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | 036-083808 (Illinois) | Primary |
| Entity Name | Physician Services Corporation Of Southern Illinois Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Susan G Marantz, MD 7556 Jackson Blvd, Forest Park, IL 60130-1854 Ph: (708) 467-5000 | Dr Susan G Marantz, MD 7556 Jackson Blvd, Forest Park, IL 60130-1854 Ph: (708) 467-5000 |
Rafiq M Kutty, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 7607 W Madison Ave, Forest Park, IL 60130 Phone: 708-366-7177 Fax: 708-366-3301 | |
Dr. Hemant Puri, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 7435 Madison St, Forest Park, IL 60130 Phone: 708-771-8000 | |
Dr. Anna Mae Gigi Lee, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 7556 Jackson Blvd, Forest Park, IL 60130 Phone: 708-836-8610 | |
Dr. Beth Ginsburg, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 7607 Madison St, Forest Park, IL 60130 Phone: 708-450-4557 Fax: 708-338-0200 |