Individual
DR. SUZANNE G. ROSENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
901 EDGEMERE CT, EVANSTON, IL 60202-1428
(847) 491-1670
(847) 491-1679
Mailing address
901 EDGEMERE CT, EVANSTON, IL 60202-1428
(847) 491-1670
(847) 491-1679
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01673622
BLUECROSS&BLUESHIELD
IL
Enumeration date
03/31/2007
Last updated
07/08/2007
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