Healthcare Provider Details

I. General information

NPI: 1841125556
Provider Name (Legal Business Name): VANESSA SUCHECKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18312 DISTINCTIVE DR
ORLAND PARK IL
60467-9462
US

IV. Provider business mailing address

18312 DISTINCTIVE DR
ORLAND PARK IL
60467-9462
US

V. Phone/Fax

Practice location:
  • Phone: 708-928-5700
  • Fax: 708-570-1617
Mailing address:
  • Phone: 708-928-5700
  • Fax: 708-570-1617

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number178021689
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: