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General NPI Number Information
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NPI Number | 1033915798
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Entity Type | Organization
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Legal Business Name | CYNTHIA SUAREZ EUDY LCSW PC
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 4711 GOLF RD
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City | SKOKIE
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State | IL
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Zip | 60076-1224
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Country | US
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Telephone | 773-502-8653
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Fax |
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Provider Business Mailing Address
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Address Line | 4711 GOLF RD
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City | SKOKIE
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State | IL
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Zip | 60076-1224
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BILLING COORDINATOR
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Name | SHERRI GOODMAN
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Credential |
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Telephone | 847-764-1355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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