Chen, Mary Susan

Chen, Mary Susan is an sole proprietor health care provider with primary practice located at 1211 William St , River Forest IL 60305-1100. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Chen, Mary Susan can be contacted via phone (708) 771-7945.

Contact Information

Primary practice address
1211 William St River Forest IL 60305-1100
Phone: (708) 771-7945
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070.004696 Illinois

Profile Details

NPI number 1437287703
LBN Legal business name Chen, Mary Susan
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437287703 NPPES
Illinois Other 1634457 BLUE CROSS BLUE SHIELD IL

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