Harris, Susan Rickels
Harris, Susan Rickels is an sole proprietor health care provider with primary practice located at 2604 Dempster St Ste 501 , Park Ridge IL 60068-8429. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Harris, Susan Rickels can be contacted via phone (847) 674-5585.Contact Information
Primary practice address
2604 Dempster St Ste 501
Park Ridge IL 60068-8429
Phone: (847) 674-5585
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 147.001326 | Illinois |
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 1601000041 | Michigan |
Profile Details
| NPI number | 1417008970 |
|---|---|
| LBN Legal business name | Harris, Susan Rickels |
| Credentials | AU.D., CCC-A |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2007 |
| Last updated | May 9th, 2024 - about last year |
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 | 1417008970 | NPPES |
| Other | P20170006 | MEDICARE PTAN |
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