Mack, Susan A

Mack, Susan A is an individual health care provider with primary practice located at 514 Teela Ln , Des Plaines IL 60016-1230. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mack, Susan A can be contacted via phone (847) 692-6000.

Contact Information

Primary practice address
514 Teela Ln Des Plaines IL 60016-1230
Phone: (847) 692-6000
Fax: (847) 692-6112
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 277000186 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209002933 Illinois

Profile Details

NPI number 1003808270
LBN Legal business name Mack, Susan A
Credentials APRN-FPA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Dec 7th, 2021 - about 5 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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