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Suzanne Marie Dibattista

NPI Registration Record

Provider / OrganizationNPIDate Certified
SUZANNE MARIE DIBATTISTA18316578242022-06-19

Suzanne Marie Dibattista is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1831657824. Registration indicates Suzanne Marie Dibattista is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Pediatrics) (Allopathic & Osteopathic Physicians, Pediatrics) (Pediatrics, ) (Primary Care/Family Planning/APRN/PA, ) (Pediatrics, Allopathic & Osteopathic Physicians)

RegistrationPART-B:Y
DME:Y
HHA:Y
PMD:Y
Entity TypeIndividual
Provider Name Suzanne Marie Dibattista MD
Practice Office Address1645 W JACKSON BLVD STE 200
CHICAGO, IL US
Practice Office Telephone3129422200
Mailing Address1645 W JACKSON BLVD STE 200
CHICAGO, IL 606123227 US
Business Telephone3129422000
HPT Codes
CodePractice
License No
State
390200000X
Student, Health Care
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program

All Other Specialties & Provider Types

Student in an Organized Health Care Education/Training Program
Student, Health Care
208000000X PRIMARYAccess to Pediatric Primary Care Providers
Allopathic & Osteopathic Physicians
Pediatrics
Allopathic & Osteopathic Physicians
Pediatrics
Pediatrics

Primary Care/Family Planning/APRN/PA

Pediatrics
Allopathic & Osteopathic Physicians
036.159318
IL
OPI Codes
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