Ignatius, Susan
Ignatius, Susan is an individual health care provider with primary practice located at 501 Thornhill Dr , Carol Stream IL 60188-2793. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ignatius, Susan can be contacted via phone (630) 668-3210.Contact Information
Primary practice address
501 Thornhill Dr
Carol Stream IL 60188-2793
Phone: (630) 668-3210
Fax: (630) 668-3505
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036090377 | Illinois |
Profile Details
NPI number | 1649374935 |
---|---|
LBN Legal business name | Ignatius, Susan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 8th, 2006 |
Last updated | Oct 23rd, 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 | 1649374935 | NPPES |
Illinois | MEDICAID | 036090377 | |
Illinois | Other | 920540 | |
Illinois | Other | F400137406 |
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