Miller, Susan P

Miller, Susan P is an individual health care provider with primary practice located at 799 Roosevelt Rd Building 4 Suite 005, Glen Ellyn IL 60137-5908. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Miller, Susan P can be contacted via phone (630) 624-0343.

Contact Information

Primary practice address
799 Roosevelt Rd Building 4 Suite 005 Glen Ellyn IL 60137-5908
Phone: (630) 624-0343
Fax: (630) 629-8387
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1477515765
LBN Legal business name Miller, Susan P
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477515765 NPPES
Illinois Other 0002232731 BLUE CROSS BLUE SHIELD

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