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
Phone: (773) 531-3427
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972641934 | NPPES |
| Illinois | Other | IL3372001 | MEDICARE PTAN |
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