Kapustka, Susan Lynn

Kapustka, Susan Lynn is an sole proprietor health care provider with primary practice located at 9711 S Muirfield Dr , Village Of Lakewood IL 60014-3316. She recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Kapustka, Susan Lynn can be contacted via phone (815) 455-8090.

Contact Information

Primary practice address
9711 S Muirfield Dr Village Of Lakewood IL 60014-3316
Phone: (815) 455-8090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016003622 Illinois
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 016003622 Illinois
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 016003622 Illinois

Profile Details

NPI number 1184982530
LBN Legal business name Kapustka, Susan Lynn
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2012
Last updated Apr 23rd, 2012 - about 12 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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