Individual
SUSAN PEARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
036-107647
IL
2084P0015X
Psychosomatic Medicine Physician
036-107647
IL
2084P0800X
Psychiatry Physician
Primary
036-107647
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL3372001
MEDICARE PTAN
IL
Enumeration date
02/02/2007
Last updated
01/15/2014
Update your record
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