| Suzanne Gass Lcsw, Pc | |
|
5100 N Ravenswood Ave # 203 Chicago IL 60640-1710 | |
| (773) 490-9643 | |
| Not Available |
| Full Name | Suzanne Gass Lcsw, Pc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5100 N Ravenswood Ave # 203, Chicago, Illinois |
| Authorized Official Name and Position | Suzanne Gass (PRESIDENT) |
| Authorized Official Contact | 7734909643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suzanne Gass Lcsw, Pc 2539 Hurd Ave Evanston IL 60201-1205 Ph: (773) 490-9643 | Suzanne Gass Lcsw, Pc 5100 N Ravenswood Ave # 203 Chicago IL 60640-1710 Ph: (773) 490-9643 |
| NPI Number | 1942473715 |
|---|---|
| Provider Enumeration Date | 04/11/2008 |
| Last Update Date | 05/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942473715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 149010414 (Illinois) | Primary |
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