Smith, Susan R

Smith, Susan R is an sole proprietor health care provider with primary practice located at 100 S Atkinson Rd Suite 203, Grayslake IL 60030-7817. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Smith, Susan R can be contacted via phone (847) 543-8378.

Contact Information

Primary practice address
100 S Atkinson Rd Suite 203 Grayslake IL 60030-7817
Phone: (847) 543-8378
Fax: (847) 543-9424
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X Illinois
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X Illinois
Behavioral Health & Social Service Providers / Family 103TF0000X Illinois
Behavioral Health & Social Service Providers / Psychologist 103T00000X Illinois

Profile Details

NPI number 1033260047
LBN Legal business name Smith, Susan R
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2007
Last updated Jul 8th, 2007 - 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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