Individual
SUSAN KURANISHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 W ROOSEVELT RD, CHICAGO, IL 60608-1228
(773) 960-9390
(312) 506-0103
Mailing address
1850 W ROOSEVELT RD, CHICAGO, IL 60608-1228
(773) 960-9390
(312) 506-0103
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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