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NPI Code Detail

MEDICARE: JONATHAN SUASTEGUI

MEDICARE: JONATHAN SUASTEGUI
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1265381370
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN SUASTEGUI
Provider Business Mailing Address
First Line : 850 S WABASH AVE STE 320
Second Line :
City : CHICAGO
State : IL
Zip : 60605-3642
Country : US
Telephone Number : 708-787-8840
Fax Number :
Provider Business Practice Location Address
First Line : 850 S WABASH AVE STE 320
Second Line :
City : CHICAGO
State : IL
Zip : 60605-3642
Country : US
Telephone Number : 708-787-8840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2026
Last Update Date : 01/23/2026

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Directions to “ JONATHAN SUASTEGUI ” Practice Location

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