Organization
SUSAN BACHMAN, LCSW,SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BACHMAN LCSW (OWNER/PRESIDENT)
(773) 880-0947
Entity
Organization
Contact information
Practice address
2132 W ROSCOE ST, CHICAGO, IL 60618-6241
(773) 880-0947
Mailing address
2132 W ROSCOE ST, CHICAGO, IL 60618-6241
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/17/2019
Last updated
02/17/2019
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