Byram, Susanna Coers

Byram, Susanna Coers is an individual health care provider with primary practice located at 2160 S 1St Ave , Maywood IL 60153-3328. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Byram, Susanna Coers can be contacted via phone (708) 216-9169.

Contact Information

Primary practice address
2160 S 1St Ave Maywood IL 60153-3328
Phone: (708) 216-9169
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 125-056389 Illinois
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036128915 Illinois

Profile Details

NPI number 1891921029
LBN Legal business name Byram, Susanna Coers
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2009
Last updated Apr 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891921029 NPPES
Illinois Other 125-056389 ILLINOIS TEMPORARY LISCENSE

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