Rife, Susan Barbara

Rife, Susan Barbara is an individual health care provider with primary practice located at 10755 163Rd Pl , Orland Park IL 60467-8861. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Rife, Susan Barbara can be contacted via phone (708) 873-1187.

Contact Information

Primary practice address
10755 163Rd Pl Orland Park IL 60467-8861
Fax: (708) 873-1204
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036077841 Illinois

Profile Details

NPI number 1720067234
LBN Legal business name Rife, Susan Barbara
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Feb 4th, 2014 - about 10 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 1720067234 NPPES
Illinois MEDICAID 036077841

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