Sussman, Glen

Sussman, Glen is an individual health care provider with primary practice located at 233 E Erie St Suite 203, Chicago IL 60611-2926. He recently has only one registered license in Other Service Providers / Research Study, which is considered as his primary health care specialty. Sussman, Glen can be contacted via phone (312) 988-4500.

Contact Information

Primary practice address
233 E Erie St Suite 203 Chicago IL 60611-2926
Phone: (312) 988-4500
Fax: (312) 988-9267
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Research Study 1744R1102X

Profile Details

NPI number 1053734830
LBN Legal business name Sussman, Glen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2014
Last updated Jan 29th, 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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