Fuchs, Susan Miriam
Fuchs, Susan Miriam is an individual health care provider with primary practice located at 225 E Chicago Ave # 62 , Chicago IL 60611. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Fuchs, Susan Miriam can be contacted via phone (312) 227-6647.Contact Information
Primary practice address
225 E Chicago Ave # 62
Chicago IL 60611
Phone: (312) 227-6647
Fax: (312) 227-9475
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 036066939 | Illinois |
Profile Details
NPI number | 1205890613 |
---|---|
LBN Legal business name | Fuchs, Susan Miriam |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 13th, 2006 |
Last updated | Feb 25th, 2020 - about 5 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 | 1205890613 | NPPES |
Illinois | Other | F400389921 | PTAN |
Illinois | MEDICAID | 036066939 | PTAN |
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