Sirota, Susan F

Sirota, Susan F is an individual health care provider with primary practice located at 767 Park Ave W Suite 230, Highland Park IL 60035-2400. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Sirota, Susan F can be contacted via phone (847) 681-7100.

Contact Information

Primary practice address
767 Park Ave W Suite 230 Highland Park IL 60035-2400
Phone: (847) 681-7100
Fax: (847) 681-7110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036085493 Illinois

Profile Details

NPI number 1396715595
LBN Legal business name Sirota, Susan F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jan 8th, 2013 - about 11 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 1396715595 NPPES
Illinois Other 4919303 BCBS

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