Individual
DR. SUZANNE BIRON YELLEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3633 W LAKE AVE, SUITE #404, GLENVIEW, IL 60026-5805
(847) 998-7425
(847) 998-7427
Mailing address
2509 VIRGINIA LN, NORTHBROOK, IL 60062-7084
(847) 922-4080
(847) 998-7427
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001673577
BLUE CROSS BLUE SHIELD
IL
Enumeration date
02/15/2006
Last updated
07/09/2007
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