Susan Denise Sears-Leclair in Zion - Medical

Susan Denise Sears-Leclair - NPI 1265525117

Susan Denise Sears-Leclair is a Medical in Zion, Illinois. Susan Denise Sears-Leclair practices all healthcare services and medical treatments related to Medical. The NPI Number for Susan Denise Sears-Leclair is 1265525117. The last update date is 2020-07-22.

Susan Denise Sears-Leclair's current location address is 2520 Elisha Avenue, Zion, Illinois. You can contact this provider via phone number 8477464358 and fax number 6309388849. The mailing address for Susan Denise Sears-Leclair is 2520 Elisha Avenue, Zion, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Denise Sears-Leclair
Address 2520 Elisha Avenue, Zion, Illinois
Phone Number 8477464358
Fax Number 6309388849
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1265525117
Provider Enumeration Date 2006-10-02
Last Updated Date 2020-07-22

Provider Mailing Address Detail

Address 2520 Elisha Avenue
City Zion
State Illinois (IL)
Post Code 60099
Phone Number 8477464358
Fax Number 6309388849

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 5069-23
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
206147 IL MEDICARE PTAN (GROUP)
F400252938 IL MEDICARE PTAN (INDIVIDUAL)

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FAQs about Susan Denise Sears-Leclair

What is the unique 10-digit identifier code assigned to Susan Denise Sears-Leclair by the Centers for Medicare & Medicaid Services?

The Susan Denise Sears-Leclair has been issued the NPI (National Provider Identifier) 1265525117 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Susan Denise Sears-Leclair's facilities are geographically located?

The facilities of Susan Denise Sears-Leclair are physically situated at the following location: 2520 Elisha Avenue, Zion, IL, 60099.

What is Susan Denise Sears-Leclair's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Susan Denise Sears-Leclair's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.

On what date did the Susan Denise Sears-Leclair receive its 1265525117 assignment from the Centers for Medicare & Medicaid Services?

The Susan Denise Sears-Leclair was assigned its 1265525117 by the Centers for Medicare & Medicaid Services on 2006-10-02.

As of what date was the information regarding Susan Denise Sears-Leclair, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Susan Denise Sears-Leclair, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-07-22.

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