Sams, Mary Susan
Sams, Mary Susan is an sole proprietor health care provider with primary practice located at 708 Church St #212, Evanston IL 60201-3875. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Sams, Mary Susan can be contacted via phone (847) 293-3385.Contact Information
Primary practice address
708 Church St #212
Evanston IL 60201-3875
Phone: (847) 293-3385
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | Illinois |
Profile Details
| NPI number | 1962621672 |
|---|---|
| LBN Legal business name | Sams, Mary Susan |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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