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Individual

MRS. SUZANNE RUTH SUSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCC A

Contact information

Practice address
2001 N CLYBOURN AVENUE, 2ND FLOOR, CHICAGO, IL 60614-4036
(773) 248-9121
(773) 248-9176
Mailing address
2001 N CLYBOURN AVENUE, 2ND FLOOR, CHICAGO, IL 60614-4036
(773) 248-9121
(773) 248-9176

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12094543
ASHA
Enumeration date
02/15/2007
Last updated
07/08/2007
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