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NPI Code Detail

MEDICARE: MS. SUSAN KAY SAVAGE LCPC

MEDICARE: MS. SUSAN KAY SAVAGE LCPC
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
1101YP2500XProfessional Counselor180.006928IL

General Provider Information

NPI Number : 1396040150
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SUSAN KAY SAVAGE LCPC
Provider Business Mailing Address
First Line : 1800 PRAIRIE AVE
Second Line :
City : DOWNERS GROVE
State : IL
Zip : 60515-3313
Country : US
Telephone Number : 630-991-1677
Fax Number :
Provider Business Practice Location Address
First Line : 1240 BAMBURG CT
Second Line :
City : HANOVER PARK
State : IL
Zip : 60133-5243
Country : US
Telephone Number : 630-372-6599
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2011
Last Update Date : 01/25/2011

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