Organization
SUSAN E. PEARLSON, M.D., P.C.
Active
Other names
Susan E. Pearlson, M.D., P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN E. PEARLSON M.D. (PRESIDENT)
(773) 531-3427
Entity
Organization
Contact information
Practice address
645 N MICHIGAN AVE, SUITE 803, CHICAGO, IL 60611-2826
(773) 531-3427
Mailing address
645 N MICHIGAN AVE, SUITE 803, CHICAGO, IL 60611-2826
(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
—
IL3372
MEDICARE
IL
Enumeration date
12/10/2009
Last updated
01/15/2014
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