Bednar, Susan M.

Bednar, Susan M. is an individual health care provider with primary practice located at 2650 Ridge Ave Emergency Medicine, Rm G903C, Evanston IL 60201-1718. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Bednar, Susan M. can be contacted via phone (847) 570-2114.

Contact Information

Primary practice address
2650 Ridge Ave Emergency Medicine, Rm G903C Evanston IL 60201-1718
Phone: (847) 570-2114
Fax: (847) 570-1223
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X Illinois

Profile Details

NPI number 1043421704
LBN Legal business name Bednar, Susan M.
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Jul 8th, 2007 - about 18 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 1043421704 NPPES
Illinois Other 209-00873 IL STATE LIC

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