White, Susie Maria
White, Susie Maria is an individual health care provider with primary practice located at 304 Randall Rd , Geneva IL 60134-4200. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. White, Susie Maria can be contacted via phone (630) 232-0610.Contact Information
Primary practice address
304 Randall Rd
Geneva IL 60134-4200
Phone: (630) 232-0610
Fax: (630) 232-0675
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036.083093 | Illinois |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 32474 | Wisconsin |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207PH0002X | 036083093 | Illinois |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 036083093 | Illinois |
Profile Details
| NPI number | 1851661862 |
|---|---|
| LBN Legal business name | White, Susie Maria |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2012 |
| Last updated | Aug 10th, 2026 - about 3 months 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 | 1851661862 | NPPES |
| Illinois | Other | F400174048 | MEDICARE PTAN (INDIVIDUAL) |
| Illinois | Other | 036083093 | MEDICARE PTAN (INDIVIDUAL) |
| Illinois | Other | 206147 | MEDICARE PTAN (INDIVIDUAL) |
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