Curtis, Susan Marie
Curtis, Susan Marie is an sole proprietor health care provider with primary practice located at 9318 S Kedzie Ave Suite #2, Evergreen Park IL 60805-2323. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Curtis, Susan Marie can be contacted via phone (773) 881-0108.Contact Information
Primary practice address
9318 S Kedzie Ave Suite #2
Evergreen Park IL 60805-2323
Phone: (773) 881-0108
Fax: (773) 253-2245
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | Illinois | |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | Illinois |
Profile Details
| NPI number | 1487796058 |
|---|---|
| LBN Legal business name | Curtis, Susan Marie |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Apr 11th, 2008 - about 18 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 | 1487796058 | NPPES |
| Illinois | Other | 01636651 | BLUE CROSS BLUE SHIELD |
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