Suan, Evan B
Suan, Evan B is an sole proprietor health care provider with primary practice located at 6720 167Th St , Tinley Park IL 60477-2872. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Suan, Evan B can be contacted via phone (708) 429-1600.Contact Information
Primary practice address
6720 167Th St
Tinley Park IL 60477-2872
Phone: (708) 429-1600
Fax: (708) 429-7216
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036088529 | Illinois |
Profile Details
| NPI number | 1457358574 |
|---|---|
| LBN Legal business name | Suan, Evan B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Nov 2nd, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457358574 | NPPES |
| Illinois | MEDICAID | 036088529 |
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