Fostiak, Susanna C.

Fostiak, Susanna C. is an sole proprietor health care provider with primary practice located at 1724 Sherman Ave , Evanston IL 60201-5607. She recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as her primary health care specialty. Fostiak, Susanna C. can be contacted via phone (847) 864-4441.

Contact Information

Primary practice address
1724 Sherman Ave Evanston IL 60201-5607
Phone: (847) 864-4441
Fax: (847) 864-5338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X Illinois

Profile Details

NPI number 1295943454
LBN Legal business name Fostiak, Susanna C.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 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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