Search › Illinois › 101Y00000X
Susan Engelhardt
NPI 1447481411 · on the registry since 2009 · sole proprietor
Practice
- Address
- 1308 Wells Street Rd
Du Quoin, IL 62832 - Phone
- (618) 542-5421
- Fax
- (618) 542-5556
- Organisation at this address
- Five Star Industries, Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-08-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois