Su, Longcheng
Su, Longcheng is an individual health care provider with primary practice located at 3249 Oak Park Ave Anesthesia Department, Berwyn IL 60402-3429. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Su, Longcheng can be contacted via phone (708) 783-3667.Contact Information
Primary practice address
3249 Oak Park Ave Anesthesia Department
Berwyn IL 60402-3429
Phone: (708) 783-3667
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036-103793 | Illinois |
Profile Details
| NPI number | 1235167834 |
|---|---|
| LBN Legal business name | Su, Longcheng |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Aug 4th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235167834 | NPPES |
| Illinois | MEDICAID | 036103793 |
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