Individual
SUSAN M PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
299 N MAPLE AVE, WOOD DALE, IL 60191-1512
(773) 519-0896
Mailing address
1010 N HOOKER ST, CHICAGO, IL 60642-4549
(312) 943-3600
(866) 410-9192
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041305029
IL
163WH0200X
Home Health Registered Nurse
041305029
IL
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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