Vierling, Susan G

Vierling, Susan G is an individual health care provider with primary practice located at 130 S Main St Suite 303, Lombard IL 60148-2670. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Vierling, Susan G can be contacted via phone (630) 424-9877.

Contact Information

Primary practice address
130 S Main St Suite 303 Lombard IL 60148-2670
Fax: (630) 424-9878
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036091886 Illinois

Profile Details

NPI number 1306825930
LBN Legal business name Vierling, Susan G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Dec 21st, 2021 - about 5 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 1306825930 NPPES
Illinois Other K1444 MEDICARE PROVIDER NUMBER
Illinois MEDICAID 036091886 MEDICARE PROVIDER NUMBER
Illinois Other 0031600193 MEDICARE PROVIDER NUMBER
Illinois Other P00251102 MEDICARE PROVIDER NUMBER

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