Chan, Suzanne

Chan, Suzanne is an sole proprietor health care provider with primary practice located at 3201 S Wallace St , Chicago IL 60616-3501. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Chan, Suzanne can be contacted via phone (312) 248-8610.

Contact Information

Primary practice address
3201 S Wallace St Chicago IL 60616-3501
Phone: (312) 248-8610
Fax: (312) 728-7582
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 277000615 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 277000615 Illinois

Profile Details

NPI number 1497299689
LBN Legal business name Chan, Suzanne
Credentials DNP,FNP-BC, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2016
Last updated Sep 6th, 2024 - about 2 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 1497299689 NPPES
Illinois Other 1154187433 GROUP NPI

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