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NPI Code Detail

MEDICARE: NAOMI SUGUNASINGHA

MEDICARE: NAOMI SUGUNASINGHA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2103TC0700XClinical Psychologist071.010800IL

General Provider Information

NPI Number : 1043552342
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAOMI SUGUNASINGHA
Provider Business Mailing Address
First Line : 303 E WACKER DR STE 1130
Second Line :
City : CHICAGO
State : IL
Zip : 60601-5227
Country : US
Telephone Number : 312-600-3935
Fax Number :
Provider Business Practice Location Address
First Line : 303 E WACKER DR STE 1130
Second Line :
City : CHICAGO
State : IL
Zip : 60601-5227
Country : US
Telephone Number : 312-600-3935
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2013
Last Update Date : 03/23/2023

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Directions to “ NAOMI SUGUNASINGHA ” Practice Location

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