OrganizationDr. Susan Rife Family Medicine ScFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address10755 W 163 Place, Orland Park, IL 60467(708) 873-1187PECOS EnrollmentBased on the most recent information from CMS, provider Dr. Susan Rife Family Medicine Sc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1184602880Provider TypeOrganizationFull NameDr. Susan Rife Family Medicine ScSubpartNoEnumeration Date1/4/2006Last Updated4/4/2012Contact InformationPractice LocationPractice Address10755 W 163 Place, Orland Park, IL 60467Phone(708) 873-1187Fax(708) 873-1204Mailing LocationMailing Address10755 W 163 Place, Orland Park, IL 60467Phone(708) 873-1187Fax(708) 873-1204Authorized OfficialNameRife, Susan Barbara (Physician Owner)Phone(708) 873-1187Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense036077841IllinoisProvider IdentifiersIDDescriptionIssuerID036077841DescriptionMedicaidIssuerUnlistedIllinois