Scanlon, Mary Susan

Scanlon, Mary Susan is an individual health care provider with primary practice located at 1721 Moon Lake Blvd Ste 100 , Hoffman Estates IL 60169-5700. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Scanlon, Mary Susan can be contacted via phone (847) 884-9700.

Contact Information

Primary practice address
1721 Moon Lake Blvd Ste 100 Hoffman Estates IL 60169-5700
Phone: (847) 884-9700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036093270 Illinois

Profile Details

NPI number 1245327782
LBN Legal business name Scanlon, Mary Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Jan 20th, 2020 - about 5 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 1245327782 NPPES
Illinois MEDICAID 036093270
Illinois Other 01623696

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