Organization
SUSAN E PEARLSON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN PEARLSON M.D. (PRESIDENT)
(773) 531-3427
Entity
Organization
Contact information
Practice address
645 N MICHIGAN AVE, SUITE 410, CHICAGO, IL 60611-2826
(773) 531-3427
(773) 549-1655
Mailing address
845 W WOLFRAM ST, UNIT B, CHICAGO, IL 60657-5158
(773) 531-3427
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036107647
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972641934
NPI
IL
Enumeration date
07/10/2009
Last updated
07/10/2009
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