Ambriz-Vargas, Susana
Ambriz-Vargas, Susana is an individual health care provider with primary practice located at 1620 N La Salle Dr , Chicago IL 60614-6005. She recently has only one registered license in Other Service Providers / Interpreter, which is considered as her primary health care specialty. Ambriz-Vargas, Susana can be contacted via phone (312) 943-3600.Contact Information
Primary practice address
1620 N La Salle Dr
Chicago IL 60614-6005
Phone: (312) 943-3600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Interpreter | 171R00000X |
Profile Details
| NPI number | 1225153950 |
|---|---|
| LBN Legal business name | Ambriz-Vargas, Susana |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years 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 | 1225153950 | NPPES |
| Illinois | MEDICAID | 103034 |
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