Ignatius, Susan

Ignatius, Susan is an individual health care provider with primary practice located at 501 Thornhill Dr , Carol Stream IL 60188-2793. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ignatius, Susan can be contacted via phone (630) 668-3210.

Contact Information

Primary practice address
501 Thornhill Dr Carol Stream IL 60188-2793
Phone: (630) 668-3210
Fax: (630) 668-3505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036090377 Illinois

Profile Details

NPI number 1649374935
LBN Legal business name Ignatius, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2006
Last updated Oct 23rd, 2014 - about 12 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 1649374935 NPPES
Illinois MEDICAID 036090377
Illinois Other 920540
Illinois Other F400137406

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