Samuel Susko
NPI #1235923145 in Springfield, Illinois
Provider Information
- NPI Number
- 1235923145
- Entity Type
- Individual
- Name
- Samuel Susko
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Apr 7, 2025
- Last Updated
- Jun 4, 2025
Practice Location
- Address
- 701 N 1ST ST
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62781-0001
- Phone
- (217) 788-3156
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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