Crawford, Susan E

Crawford, Susan E is an individual health care provider with primary practice located at Teresa Camp, Northwestern Faculty Fdn, Prov Enrollment 680 Lakeshore Drive, Suite #1000, Chicago IL 60611. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Crawford, Susan E can be contacted via phone (314) 977-4559.

Contact Information

Primary practice address
Teresa Camp, Northwestern Faculty Fdn, Prov Enrollment 680 Lakeshore Drive, Suite #1000 Chicago IL 60611
Phone: (314) 977-4559
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 036079326 Illinois

Profile Details

NPI number 1194725341
LBN Legal business name Crawford, Susan E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Sep 26th, 2012 - about 13 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 1194725341 NPPES
Illinois MEDICAID 036079326

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