Pearlson, Susan

Pearlson, Susan is an individual health care provider with primary practice located at 645 N Michigan Ave Unit B, Chicago IL 60611-2826. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Psychosomatic Medicine. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Pearlson, Susan can be contacted via phone (773) 531-3427.

Contact Information

Primary practice address
645 N Michigan Ave Unit B Chicago IL 60611-2826
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X 036-107647 Illinois
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036-107647 Illinois
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X 036-107647 Illinois

Profile Details

NPI number 1972641934
LBN Legal business name Pearlson, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Jan 15th, 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 1972641934 NPPES
Illinois Other IL3372001 MEDICARE PTAN

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