Carmody, Susan

Carmody, Susan is an individual health care provider with primary practice located at 1505 Eastland Dr , Bloomington IL 61701-3534. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Carmody, Susan can be contacted via phone (309) 663-2100.

Contact Information

Primary practice address
1505 Eastland Dr Bloomington IL 61701-3534
Phone: (309) 663-2100
Fax: (309) 663-8322
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Illinois

Profile Details

NPI number 1841390481
LBN Legal business name Carmody, Susan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2006
Last updated Jul 8th, 2007 - about 19 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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