Swanson, Susan G
Swanson, Susan G is an individual health care provider with primary practice located at 1095 Pingree Rd Ste 108 , Crystal Lake IL 60014. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Swanson, Susan G can be contacted via phone (815) 459-6655.Contact Information
Primary practice address
1095 Pingree Rd Ste 108
Crystal Lake IL 60014
Phone: (815) 459-6655
Fax: (847) 658-9922
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209004305 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 277000681 | Illinois |
Profile Details
| NPI number | 1225088636 |
|---|---|
| LBN Legal business name | Swanson, Susan G |
| Credentials | DNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | May 20th, 2021 - about 3 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 | 1225088636 | NPPES |
| Illinois | Other | 277000681 | FULL PRACTICE AUTHORITY APRN |
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