Individual
MRS. SUZANNE MICHELLE TEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-5043
Mailing address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-5043
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209005084
IL
Other
Enumeration date
02/11/2006
Last updated
12/17/2021
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