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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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 1205890613 NPPES
Illinois Other F400389921 PTAN
Illinois MEDICAID 036066939 PTAN

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