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Individual
MS. SUSAN IRONS
Active
Individual
MS. SUSAN IRONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MST
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113326
HEALTHLINK PROVIDER ID
—
01
—
203
BLUE CROSS PROV ID
IL
05
—
343785560001
—
IL
01
—
4117
HAMP PROVIDER ID
IL
01
—
7216
PERSONALCARE PROV ID
—
Enumeration date
10/06/2008
Last updated
12/06/2011
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