Whitney, Susan

Whitney, Susan is an individual health care provider with primary practice located at 2651 W Washington Blvd , Chicago IL 60612-2055. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Whitney, Susan can be contacted via phone (773) 553-1800.

Contact Information

Primary practice address
2651 W Washington Blvd Chicago IL 60612-2055
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 1982722 Illinois

Profile Details

NPI number 1487166302
LBN Legal business name Whitney, Susan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2017
Last updated Nov 1st, 2017 - about 4 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 1487166302 NPPES
Illinois Other 1982722 ILLINOIS STATE BOARD OF EDUCATION

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