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Organization
ROBERT J SUSIN PC
Active
Organization
ROBERT J SUSIN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J SUSIN (LCSW)
(708) 822-7437
Entity
Organization
Contact information
Practice address
521 S LA GRANGE RD, SUITE 209, LA GRANGE, IL 60525-6700
(708) 822-7437
Mailing address
521 S LA GRANGE RD, STE 209, LA GRANGE, IL 60525-6700
(702) 822-7437
(708) 354-7438
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149005102
IL
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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