Crawford, Susan Elizabeth
Crawford, Susan Elizabeth is an individual health care provider with primary practice located at 1675 W Dempster St , Park Ridge IL 60068-1110. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Crawford, Susan Elizabeth can be contacted via phone (847) 318-9300.Contact Information
Primary practice address
1675 W Dempster St
Park Ridge IL 60068-1110
Phone: (847) 318-9300
Fax: (847) 723-9583
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036108669 | Illinois |
Profile Details
| NPI number | 1619936143 |
|---|---|
| LBN Legal business name | Crawford, Susan Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Dec 22nd, 2021 - about 3 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 | 1619936143 | NPPES |
| Illinois | MEDICAID | 036108669 |
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