Lee, Susan Marie

Lee, Susan Marie is an individual health care provider with primary practice located at 26177 W Grass Lake Rd , Antioch IL 60002-9613. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Lee, Susan Marie can be contacted via phone (847) 395-1550.

Contact Information

Primary practice address
26177 W Grass Lake Rd Antioch IL 60002-9613
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 42989 Illinois

Profile Details

NPI number 1154963429
LBN Legal business name Lee, Susan Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2019
Last updated Oct 8th, 2019 - about 7 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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