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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437287703 | NPPES |
| Illinois | Other | 1634457 | BLUE CROSS BLUE SHIELD IL |
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