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NPI Code Detail

MEDICARE: MS. SARAH A. SUZUKI LCSW, CADC

MEDICARE: MS. SARAH A. SUZUKI LCSW, CADC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor28743IL
21041C0700XClinical Social Worker149.014926IL
31041C0700XClinical Social Worker248.001711IL

General Provider Information

NPI Number : 1841510518
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SARAH A. SUZUKI LCSW, CADC
Provider Business Mailing Address
First Line : 333 N MICHIGAN AVE STE 704
Second Line :
City : CHICAGO
State : IL
Zip : 60601-3905
Country : US
Telephone Number : 312-715-8234
Fax Number : 844-611-0146
Provider Business Practice Location Address
First Line : 333 N MICHIGAN AVE STE 704
Second Line :
City : CHICAGO
State : IL
Zip : 60601-3905
Country : US
Telephone Number : 312-715-8234
Fax Number : 844-611-0146
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2010
Last Update Date : 10/15/2020

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