Ashby, Suzanne
Ashby, Suzanne is an individual health care provider with primary practice located at 9669 Kenton Ave Suite 550, Skokie IL 60076-1266. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Ashby, Suzanne can be contacted via phone (847) 933-1773.Contact Information
Primary practice address
9669 Kenton Ave Suite 550
Skokie IL 60076-1266
Phone: (847) 933-1773
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 036-107655 | Illinois |
Profile Details
NPI number | 1124100839 |
---|---|
LBN Legal business name | Ashby, Suzanne |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 20th, 2006 |
Last updated | Feb 11th, 2021 - about 3 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 | 1124100839 | NPPES |
Illinois | Other | 01633008 | BLUE SHIELD |
Illinois | MEDICAID | 036107655 | BLUE SHIELD |
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