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NPI Code Detail

MEDICARE: SUSAN N ANDREWS M.S.

MEDICARE: SUSAN N ANDREWS M.S.
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
1235500000XSpeech/Language/Hearing Specialist/Technologist206MS

General Provider Information

NPI Number : 1528306958
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN N ANDREWS M.S.
Provider Business Mailing Address
First Line : 1436 W WOLFRAM ST
Second Line : UNIT 2
City : CHICAGO
State : IL
Zip : 60657-4117
Country : US
Telephone Number : 314-497-1390
Fax Number :
Provider Business Practice Location Address
First Line : 1436 W WOLFRAM ST
Second Line : UNIT 2
City : CHICAGO
State : IL
Zip : 60657-4117
Country : US
Telephone Number : 314-497-1390
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2013
Last Update Date : 01/18/2013

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Directions to “ SUSAN N ANDREWS M.S.” Practice Location

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