Mackey, Susan
Mackey, Susan is an sole proprietor health care provider with primary practice located at 9239 Gross Point Rd Suite 200C, Skokie IL 60077-1389. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mackey, Susan can be contacted via phone (847) 677-3140.Contact Information
Primary practice address
9239 Gross Point Rd Suite 200C
Skokie IL 60077-1389
Phone: (847) 677-3140
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | Illinois |
Profile Details
| NPI number | 1003961855 |
|---|---|
| LBN Legal business name | Mackey, Susan |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1003961855 | NPPES |
| Illinois | Other | 1632922 | BLUE CROSS PROVIDER NUMBE |
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