Moylan, Susan M.

Moylan, Susan M. is an individual health care provider with primary practice located at 2300 N Childrens Plz Box 24, Chicago IL 60614-3363. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Moylan, Susan M. can be contacted via phone (773) 880-4428.

Contact Information

Primary practice address
2300 N Childrens Plz Box 24 Chicago IL 60614-3363
Phone: (773) 880-4428
Fax: (773) 880-3339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 28107622A Indiana

Profile Details

NPI number 1275553950
LBN Legal business name Moylan, Susan M.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Mar 17th, 2008 - about 18 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 1275553950 NPPES
Illinois Other 209.006870 ADVANCED PRACTICE NURSE

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