Johnson, Susanne

Johnson, Susanne is an sole proprietor health care provider with primary practice located at 728 Ogden Ave Ste E, Downers Grove IL 60515-2901. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnson, Susanne can be contacted via phone (630) 640-2980.

Contact Information

Primary practice address
728 Ogden Ave Ste E Downers Grove IL 60515-2901
Phone: (630) 640-2980
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071006253 Illinois

Profile Details

NPI number 1144237488
LBN Legal business name Johnson, Susanne
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated May 11th, 2016 - about 9 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 1144237488 NPPES
Other IP558185 MAGELLAN BEHAVIORAL HEALT
Other 2227588 MAGELLAN BEHAVIORAL HEALT

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