MEDICARE: SUSAN M RICHARDSON, PSY D, LLC

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
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1699377929
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUSAN M RICHARDSON, PSY D, LLC

Provider Business Mailing Address
First Line	:	65 E MONROE ST UNIT 4314
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60603-5737
Country	:	US
Telephone Number	:	224-627-4908
Fax Number	:	312-600-3880

Provider Business Practice Location Address
First Line	:	65 E MONROE ST UNIT 4314
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60603-5737
Country	:	US
Telephone Number	:	224-627-4908
Fax Number	:	312-600-3880

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SUSAN M RICHARDSON
Credential	:	PSY. D.
Telephone Number	:	224-627-4908

Provider Enumeration Date	:	11/11/2020
Last Update Date	:	11/11/2020

Similar Medicare Providers

1639149701 — DR. SUSAN MARY RICHARDSON
Practice Location Address:

65 E MONROE ST UNIT 4314
CHICAGO, IL
60603-5737

Practice Phone: 224-627-4908
Practice Fax: 312-600-3880

1578603593 — ERIN BURKE HURST M.D.
Practice Location Address:

5737 S UNIVERSITY AVE
CHICAGO, IL
60637-1507

Practice Phone: 773-702-9800
Practice Fax: 773-702-2011

1508984907 — DAVID WAYNE BERRIER M.D.
Practice Location Address:

5737 S UNIVERSITY AVE , STUDENT COUNSELING AND RESOURCE CENTER
CHICAGO, IL
60637-1507

Practice Phone: 773-702-9800
Practice Fax: 773-702-2011

1457528119 — CHRISTOPHER L MYERS M.D.
Practice Location Address:

5737 S UNIVERSITY AVE
CHICAGO, IL
60637-1507

Practice Phone: 773-702-9800
Practice Fax:

1629245048 — DR. JACQUELINE D. PARDO M.D.
Practice Location Address:

5737 S UNIVERSITY AVE
CHICAGO, IL
60637-1507

Practice Phone: 773-702-9800
Practice Fax: 773-702-2011

1558896365 — JANAE BAKER
Practice Location Address:

5737 S BISHOP ST
CHICAGO, IL
60636-1710

Practice Phone: 773-963-3796
Practice Fax:

Directions to “SUSAN M RICHARDSON, PSY D, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.