| Suzanne S. Walker | |
|
51 Sherwood Ter Ste W Lake Bluff IL 60044-2232 | |
| (847) 615-5450 | |
| (847) 615-1783 |
| Full Name | Suzanne S. Walker |
|---|---|
| Speciality | Counselor - Professional |
| Location | 51 Sherwood Ter Ste W, Lake Bluff, Illinois |
| Authorized Official Name and Position | Suzanne Walker (OWNER) |
| Authorized Official Contact | 8476155450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suzanne S. Walker 51 Sherwood Ter Ste W Lake Bluff IL 60044-2232 Ph: (847) 615-5450 | Suzanne S. Walker 51 Sherwood Ter Ste W Lake Bluff IL 60044-2232 Ph: (847) 615-5450 |
| NPI Number | 1265754816 |
|---|---|
| Provider Enumeration Date | 02/24/2010 |
| Last Update Date | 02/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265754816 | NPI | - | NPPES |
| 1417284902 | Other | IL | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 13728 (Illinois) | Secondary |
| 101YP2500X | Counselor - Professional | 180001588 (Illinois) | Primary |
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