Zuckerman, Susan Eileen

Zuckerman, Susan Eileen is an individual health care provider with primary practice located at 1975 Lin Lor Ln Suite 195, Elgin IL 60123-4902. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Zuckerman, Susan Eileen can be contacted via phone (847) 468-1511.

Contact Information

Primary practice address
1975 Lin Lor Ln Suite 195 Elgin IL 60123-4902
Phone: (847) 468-1511
Fax: (847) 468-1555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 036-104964 Illinois

Profile Details

NPI number 1295741601
LBN Legal business name Zuckerman, Susan Eileen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Dec 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295741601 NPPES
Illinois MEDICAID 036104964

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