Hansel, Susan Holland

Hansel, Susan Holland is an individual health care provider with primary practice located at 222 S Greenleaf St Suite 109, Gurnee IL 60031-5705. She recently has 3 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Assistive Technology Practitioner, Speech, Language and Hearing Service Providers / Assistive Technology Supplier. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Hansel, Susan Holland can be contacted via phone (847) 249-0167.

Contact Information

Primary practice address
222 S Greenleaf St Suite 109 Gurnee IL 60031-5705
Phone: (847) 249-0167
Fax: (847) 249-0717
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 147-000311 Illinois
Speech, Language and Hearing Service Providers / Assistive Technology Practitioner 231HA2400X 147-000311 Illinois
Speech, Language and Hearing Service Providers / Assistive Technology Supplier 231HA2500X 147-000311 Illinois

Profile Details

NPI number 1962530808
LBN Legal business name Hansel, Susan Holland
Credentials AUD, CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Jul 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962530808 NPPES
Illinois Other 0004921745 BCBS

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