Sam, Susan

Sam, Susan is an individual health care provider with primary practice located at 5000 S 5Th Ave , Hines IL 60141-3030. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Sam, Susan can be contacted via phone (708) 202-8387.

Contact Information

Primary practice address
5000 S 5Th Ave Hines IL 60141-3030
Phone: (708) 202-8387
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051.299683 Illinois

Profile Details

NPI number 1346794500
LBN Legal business name Sam, Susan
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2016
Last updated Aug 5th, 2016 - about 10 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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