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1316076235
MIRELLA SUSNJAR
ELGIN, IL
NPI
1316076235
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IL 036096103)
Enumeration Date
2007-03-05
Last Update Date
2007-07-08
Business Address
-- MIRELLA SUSNJAR M.D.
750 S STATE ST
ELGIN, IL 60123-7612
Phone number: 630-587-5397
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Mailing Address
-- MIRELLA SUSNJAR M.D.
5N315 DEERPATH WAY
ST CHARLES, IL 60175-4908
Phone number: 630-587-5397
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