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Organization
EQUILIBRIUM, INC
Active
Organization
EQUILIBRIUM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE SMITH LCSW, CADC (LICENSED CLINICAL SOCIAL WORKER)
(219) 743-9017
Entity
Organization
Contact information
Practice address
53 W JACKSON BLVD STE 1119, CHICAGO, IL 60604-4186
(312) 380-9554
Mailing address
53 W JACKSON BLVD STE 1119, CHICAGO, IL 60604-4186
(312) 380-9554
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194113308
NPPES
IL
Enumeration date
03/02/2019
Last updated
03/02/2019
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