Feczko, Susan
Feczko, Susan is an individual health care provider with primary practice located at 1010 N Hooker St Ste 301 , Chicago IL 60642-4633. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Feczko, Susan can be contacted via phone (312) 943-3600.Contact Information
Primary practice address
1010 N Hooker St Ste 301
Chicago IL 60642-4633
Phone: (312) 943-3600
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Speech-Language Assistant | 2355S0801X | 217000074 | Illinois |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
Profile Details
NPI number | 1043344211 |
---|---|
LBN Legal business name | Feczko, Susan |
Credentials | STA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 16th, 2007 |
Last updated | Aug 6th, 2014 - about 11 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 | 1043344211 | NPPES |
Illinois | MEDICAID | 103034 |
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