Bank, Susan L

Bank, Susan L is an sole proprietor health care provider with primary practice located at 1480 Renaissance Drive Suite 306, Rark Ridge IL 60068. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Bank, Susan L can be contacted via phone (312) 332-4001.

Contact Information

Primary practice address
1480 Renaissance Drive Suite 306 Rark Ridge IL 60068
Fax: (312) 332-4002
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036089223 Illinois

Profile Details

NPI number 1578696332
LBN Legal business name Bank, Susan L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2007
Last updated Dec 13th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578696332 NPPES
Illinois MEDICAID 036089223

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