Ms. Susan M. King
Occupational Therapist - Gerontology
2773 Skokie Valley Rd
Highland Park
, Illinois 60035-1042
Ms. Susan M. King
Occupational Therapist - Gerontology
2773 Skokie Valley Rd
Highland Park
, Illinois 60035-1042
(847) 328-0234
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Ms. Susan M. King
- 1918 Lake St
- Evanston, IL
- Zip : 60201-3925
- Fax : (847) 328-0234
- Phone : (847) 910-6446
Second Address
- Ms. Susan M. King
- 2773 Skokie Valley Rd
- Highland Park, IL
- Zip : 60035-1042
- Phone : (847) 266-9266
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | 056005363 | IL |
National Provider Identifier
| NPI | 1841421039 |
|---|---|
| Provider Name | Ms. Susan M. King |
| First Address | Evanston, IL 60201-3925 |
| Second Address | Highland Park, IL 60035-1042 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/08/2009 |
| Last Update Date | 05/08/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.