Podlogar, Susan

Podlogar, Susan is an individual health care provider with primary practice located at 200 Fox Glen Ct , Barrington IL 60010-1809. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Podlogar, Susan can be contacted via phone (847) 382-7165.

Contact Information

Primary practice address
200 Fox Glen Ct Barrington IL 60010-1809
Phone: (847) 382-7165
Fax: (847) 713-8160
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 041268962 Illinois

Profile Details

NPI number 1013973379
LBN Legal business name Podlogar, Susan
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Mar 17th, 2018 - about 6 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 1013973379 NPPES
Illinois Other F400446447 MEDICARE

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