Barclay, Susan
Barclay, Susan is an sole proprietor health care provider with primary practice located at 100 W 162Nd St , South Holland IL 60473-2003. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Barclay, Susan can be contacted via phone (708) 730-2200.Contact Information
Primary practice address
100 W 162Nd St
South Holland IL 60473-2003
Phone: (708) 730-2200
Fax: (708) 210-0621
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036090785 | Illinois |
Profile Details
| NPI number | 1144206145 |
|---|---|
| LBN Legal business name | Barclay, Susan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2005 |
| Last updated | Dec 16th, 2021 - about 5 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 | 1144206145 | NPPES |
| Illinois | Other | 01621679 | BCBS OF IL |
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