Jensen, Susannah
Jensen, Susannah is an sole proprietor health care provider with primary practice located at 2650 Ridge Ave Ste 5303 , Evanston IL 60201-1718. She recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as her primary health care specialty. Jensen, Susannah can be contacted via phone (847) 570-1463.Contact Information
Primary practice address
2650 Ridge Ave Ste 5303
Evanston IL 60201-1718
Phone: (847) 570-1463
Fax: (847) 578-8647
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Hospitals / General Acute Care Hospital | 282N00000X | Illinois |
Profile Details
NPI number | 1194977827 |
---|---|
LBN Legal business name | Jensen, Susannah |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 13th, 2008 |
Last updated | Apr 8th, 2015 - about 10 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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