Barclay, Susan

Barclay, Susan is an sole proprietor health care provider with primary practice located at 100 W 162Nd St , South Holland IL 60473-2003. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Barclay, Susan can be contacted via phone (708) 730-2200.

Contact Information

Primary practice address
100 W 162Nd St South Holland IL 60473-2003
Phone: (708) 730-2200
Fax: (708) 210-0621
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036090785 Illinois

Profile Details

NPI number 1144206145
LBN Legal business name Barclay, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2005
Last updated Dec 16th, 2021 - about 4 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 1144206145 NPPES
Illinois Other 01621679 BCBS OF IL

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