Healthcare Provider Details

I. General information

NPI: 1730244195
Provider Name (Legal Business Name): SUZANNE PACHTMAN DPT, MS, HWC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1404 ELIZABETH LN
GLENVIEW IL
60025-3159
US

IV. Provider business mailing address

1404 ELIZABETH LN
GLENVIEW IL
60025-3159
US

V. Phone/Fax

Practice location:
  • Phone: 847-849-0476
  • Fax: 610-643-5087
Mailing address:
  • Phone: 847-849-0476
  • Fax: 610-643-5087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number070.016678
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: